Ms Sally Peterson, LPN is a
Licensed Practical Nurse based in Malone, Wisconsin. Ms Sally Peterson is licensed to practice in Iowa (license number P32556) and her current practice location is
W4054 Linden Dr, Malone, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(641) 425-5187.
NPI number for Ms Sally Peterson is 1821327263 and her current mailing address is W4054 Linden Dr, Malone, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821327263.
Provider's Profile
| Full Name | Ms Sally Peterson |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | W4054 Linden Dr, Malone, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821327263
- Provider Enumeration Date: 12/14/2009
- Last Update Date: 12/14/2009
Medical Identifiers
Medical identifiers for Ms Sally Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821327263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | P32556 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Sally Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Sally Peterson, LPN
W4054 Linden Dr,
Malone, WI 53049-1694
Ph: (641) 425-5187 | Ms Sally Peterson, LPN
W4054 Linden Dr,
Malone, WI 53049-1694
Ph: (641) 425-5187 |
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