Petroske, Nancy
Petroske, Nancy is an individual health care provider with primary practice located at 14640 Woodland Place , Brookfield WI 53005. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Petroske, Nancy can be contacted via phone (262) 790-0933.Contact Information
Primary practice address
14640 Woodland Place
Brookfield WI 53005
Phone: (262) 790-0933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | 116777-30 | Wisconsin |
Profile Details
| NPI number | 1154393924 |
|---|---|
| LBN Legal business name | Petroske, Nancy |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154393924 | NPPES |
| Wisconsin | MEDICAID | 39860700 |
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