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

Mackenzie Peterson, RN

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1982557302

Mackenzie Peterson, RN is an Addiction (Substance Use Disorder) Registered Nurse in West Allis, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

11390 W Theodore Trecker Way
West Allis, WI 53214-1135
Phone: (414) 928-1401
Fax: (414) 928-1402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Registered Nurse (primary) Taxonomy 163WA0400X · Licence 1108674 (WI)

Record details

NPI number1982557302
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedFebruary 16, 2026
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026
Mailing address11390 W Theodore Trecker Way, West Allis, WI 53214-1135

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