Individual provider · Type 1 NPI

Mackenzie Peterson, RN

Addiction (Substance Use Disorder) Registered Nurse · West Allis, WI

NPI number 1982557302 Active

Practice location

11390 W Theodore Trecker Way
West Allis, WI 53214-1135

Fax (414) 928-1402

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400X1108674 (WI)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1982557302

Mackenzie Peterson, RN's National Provider Identifier is 1982557302, issued on Feb 16, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in West Allis, WI. The record was last updated on Feb 16, 2026.