1932357084 NPI number — MS. NATALIE R. PETERS APNP, DNP

Table of content: MS. NATALIE R. PETERS APNP, DNP (NPI 1932357084)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932357084 NPI number — MS. NATALIE R. PETERS APNP, DNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PETERS
Provider First Name:
NATALIE
Provider Middle Name:
R.
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
APNP, DNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PETERS
Provider Other First Name:
NATALIE
Provider Other Middle Name:
R.
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
APNP, DNP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1932357084
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/23/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
W165N5800 RIDGEWOOD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MENOMONEE FALLS
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53051-5655
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
262-252-1060
Provider Business Mailing Address Fax Number:
262-252-4807

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
W165N5800 RIDGEWOOD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MENOMONEE FALLS
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53051-5655
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-252-1060
Provider Business Practice Location Address Fax Number:
262-252-4807
Provider Enumeration Date:
09/03/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  3476 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1932357084 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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