MEDICARE: MS. NATALIE R. PETERS APNP, DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	3476	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932357084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NATALIE R. PETERS APNP, DNP

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

Provider Business Practice Location Address
First Line	:	W165N5800 RIDGEWOOD DR
Second Line	:
City	:	MENOMONEE FALLS
State	:	WI
Zip	:	53051-5655
Country	:	US
Telephone Number	:	262-252-1060
Fax Number	:	262-252-4807

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	03/23/2012

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