Individual provider · Type 1 NPI

Michelle K. Petersen, NP

Nurse Practitioner · Two Rivers, WI

NPI number 1700041472 Active

Practice location

5300 Memorial Dr
Two Rivers, WI 54241

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X8589-033 (WI)
Adult Health Nurse Practitioner 363LA2200X8589-33 (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 1700041472

Michelle K. Petersen, NP's National Provider Identifier is 1700041472, issued on Jul 22, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Two Rivers, WI. The record was last updated on Nov 30, 2021.