Individual provider · Type 1 NPI

Laura B. Pethan, APNP

Pediatric Nurse Practitioner · Sun Prairie, WI

NPI number 1194122861 Active

Practice location

10 Tower Dr
Sun Prairie, WI 53590-1239

Fax (608) 825-3786

Mailing address

PO Box 22487
Green Bay, WI 54305-2487

Other practice locations

  • 555 Redbird Cir, De Pere, WI 54115-7977 · (920) 338-6820

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X7462-33 (WI)

Pediatric Nurse Practitioner: Definition to come...

79 other providers at this address

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About NPI 1194122861

Laura B. Pethan, APNP's National Provider Identifier is 1194122861, issued on Nov 25, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Sun Prairie, WI. The record was last updated on Apr 24, 2020.