Leah R Peterson
Leah R Peterson is a Nurse Practitioner in Kimberly, Wisconsin. Qualified in 2022, 4 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 4
- Licensed in
- WI
- In the registry since
- 2022
Practice location Address checks out
520 W 3rd StKimberly, WI 54136-1300
Phone: (920) 788-7680
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3925 N Gateway Dr, Appleton, WI 54913-7863 — (920) 830-6877
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 13279-33 (WI) |
|---|
Record details
| NPI number | 1710600317 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 20, 2022 |
| Last updated in NPPES | October 9, 2024 |
| Certification date | October 9, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Thedacare, Incorporated — 654 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Kimberly
-
Laura Anderson, APNP, FNP-C
740 Ford St Ste A, Kimberly, WI 54136-2216 · (920) 939-3800