Peterson, Tara Anne
Peterson, Tara Anne is an individual health care provider with primary practice located at 13950 W Capitol Dr Ste 200 , Brookfield WI 53005-2441. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Peterson, Tara Anne can be contacted via phone (262) 781-3065.Contact Information
Primary practice address
13950 W Capitol Dr Ste 200
Brookfield WI 53005-2441
Phone: (262) 781-3065
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 6541-33 | Wisconsin |
Profile Details
| NPI number | 1710353560 |
|---|---|
| LBN Legal business name | Peterson, Tara Anne |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2015 |
| Last updated | Aug 17th, 2015 - about 11 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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