SHELLEY L PETERSON
Individual Provider (NPI-1)
Active
Registered Nurse, Home Health
Provider Information
- NPI Number
1861538340- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 6190 CONGRESS DR, WEST BEND, WI, 530958103
- Phone
- (262) 675-6390
Specialties & Taxonomies
Registered Nurse, Home Health
Primary License: WI #97651-030