Peterson, Gloria

Peterson, Gloria is an sole proprietor health care provider with primary practice located at 6509 University Ave Apartment 201, Middleton WI 53562-3460. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Peterson, Gloria can be contacted via phone (608) 831-9022.

Contact Information

Primary practice address
6509 University Ave Apartment 201 Middleton WI 53562-3460
Phone: (608) 831-9022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 68689-030 Wisconsin

Profile Details

NPI number 1275717712
LBN Legal business name Peterson, Gloria
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2007
Last updated Dec 19th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275717712 NPPES
Wisconsin MEDICAID 38244800

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