Individual provider · Type 1 NPI

Tara Peterson, APNP

Nurse Practitioner · Green Bay, WI

NPI number 1144045444 Active

Practice location

2654 S Oneida St Stop 102
Green Bay, WI 54304-5337

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X197282-30 (WI)
Nurse Practitioner Primary 363L00000X15899-33 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1144045444

Tara Peterson, APNP's National Provider Identifier is 1144045444, issued on Nov 21, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Green Bay, WI. The record was last updated on Dec 13, 2024.