Individual provider · Type 1 NPI

Shirley Marie Petersen, LPN

Licensed Practical Nurse · Appleton, WI

NPI number 1689680084 Active

Practice location

10 Tri Park Way
Appleton, WI 54914-1658

Call (920) 831-0070 Map

Fax (920) 831-7939

Mailing address

2670 Park Rd
Greenleaf, WI 54126-9666

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X16432-031 (WI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1689680084

Shirley Marie Petersen, LPN's National Provider Identifier is 1689680084, issued on Jul 31, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Appleton, WI. The record was last updated on Jul 8, 2007.