Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katie Petasek

Individual provider School Registered Nurse · NPI 1104756113

Katie Petasek is a School Registered Nurse in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

2706 Lineville Rd
Green Bay, WI 54313-7151
Phone: (920) 808-5875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Registered Nurse (primary) Taxonomy 163WS0200X · Licence 240473 (WI)

Record details

NPI number1104756113
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 21, 2026
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address2706 Lineville Rd, Green Bay, WI 54313-7151

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