Individual provider · Type 1 NPI

Kristie R. Petry, REGISTERED NURSE

Registered Nurse · Shawano, WI

NPI number 1376780056 Active

Practice location

504 Lakeland Rd
Shawano, WI 54166-3836

Call (715) 526-5547 Map

Fax (715) 526-5542

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X162531-030 (WI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1376780056

Kristie R. Petry, REGISTERED NURSE's National Provider Identifier is 1376780056, issued on Jan 16, 2009. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Shawano, WI. The record was last updated on Feb 25, 2013.