Mary Ellen Peterson is a Stockholm, Wisconsin based nurse practitioner who is specialized as Adult Health nurse. Active license number of Mary Ellen Peterson is 0360774 in Minnesota. Her current practice location is W12070 State Hwy 35, Stockholm. Patients can reach her at 715-821-8532 or can fax her at 715-442-2351. Mary Ellen Peterson is C-ANP with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1083621445. Mary Ellen Peterson can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Mary Ellen Peterson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mary Ellen Peterson
Specialization:
Adult Health Nurse Practitioner (ANP)
Gender:
Female
Credentials:
C-ANP
Practice Address:
W12070 State Hwy 35, Stockholm, Wisconsin, 54769-6127
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1083621445
NPI Enumeration Date:
01 Aug, 2006
NPI Last Update On:
07 Apr, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Ellen Peterson are as mentioned below.
License Number
Specialization
State
Status
0360774
Minnesota
Primary
4576-033
Adult Health
Wisconsin
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Ellen Peterson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0404556
Other
Minnesota
MEDICA
243994800
Medicaid
Minnesota
090M9PE
Other
Minnesota
BLUE CROSS BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mary Ellen Peterson W12070 State Hwy 35, Stockholm, Wisconsin
Zip:
54769-6127
Phone Number:
715-821-8532
Fax Number:
715-442-2351
Patients can reach Mary Ellen Peterson at W12070 State Hwy 35, Stockholm, Wisconsin or can call to book an appointment on 715-821-8532.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.