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

Mrs. Kathryn Lynn Petersen, RN

Individual provider Registered Nurse · NPI 1235616269

Mrs. Kathryn Lynn Petersen, RN is a Registered Nurse in Green Bay, Wisconsin. Works from 3 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

704 S Webster Ave Ste 501
Green Bay, WI 54301
Phone: (920) 433-6050
Fax: (920) 433-6049
Show map & directions

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

Additional practice locations (2)

  • 744 S Webster Ave, Green Bay, WI 54301-3505 — (920) 433-3500
  • 311 N 3rd Ave, Sturgeon Bay, WI 54235-2401 — (920) 433-6050

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 8598-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 168554-30 (WI)

Record details

NPI number1235616269
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 23, 2018
Last updated in NPPESAugust 14, 2018

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