Individual provider · Type 1 NPI

Tracy M. Peterson, NURSE PRACTIONER

Nurse Practitioner · Wauwatosa, WI

NPI number 1619058740 Active

Practice location

3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222-4305

Call (414) 384-6700 Map

Fax (414) 384-3008

Mailing address

2901 W Kinnickinnic River Pkwy, Suite 102
Milwaukee, WI 53215-3677

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2967-033 (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 1619058740

Tracy M. Peterson, NURSE PRACTIONER's National Provider Identifier is 1619058740, issued on Oct 17, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wauwatosa, WI. The record was last updated on Dec 7, 2023.