Individual provider · Type 1 NPI

Suzan Rae Peterson, LPN

Licensed Practical Nurse · Madison, WI

NPI number 1912201526 Active

Practice location

6 Maple Wood Ln, Unit 10
Madison, WI 53704-3976

Call (608) 298-7328 Map

Fax (608) 298-7328

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X19010-031 (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 1912201526

Suzan Rae Peterson, LPN's National Provider Identifier is 1912201526, issued on Dec 23, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Madison, WI. The record was last updated on Dec 23, 2010.