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STEPHANIE MARIE PETERSON RN, BSN
NPI 1134057904
Registered Nurse - School in Green Bay, WI

Active since May 12, 2026
1567 DECKNER AVE, GREEN BAY, WI 54302(920) 272-7443 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Marie Peterson Rn, Bsn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE MARIE PETERSON RN, BSN (NPI 1134057904) is an individual school provider in Green Bay, Wisconsin, licensed in Wisconsin (150144-30) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1134057904
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameSTEPHANIE MARIE PETERSONCredential: RN, BSN
Location Address1567 DECKNER AVEGreen Bay, WI 54302-2617
Mailing Address1567 Deckner AveGreen Bay, WI 54302-2617 · (920) 272-7443
Phone(920) 272-7443
Sole ProprietorYes
Enumeration DateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1134057904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in WI · 150144-30
1567 DECKNER AVE, Green Bay, WI 54302
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY HOLTZ MS CCC-SLP
Speech-Language Pathologist
1567 DECKNER AVE
GREEN BAY, WI 54302
Brown County (920) 391-2470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Peterson's NPI number?

The NPI number for Stephanie Peterson is 1134057904. It was assigned to this individual provider in the NPPES registry on May 12, 2026.

Where is Stephanie Peterson located?

Stephanie Peterson practices at 1567 Deckner Ave, Green Bay, WI 54302. The listed phone number is (920) 272-7443.

What is Stephanie Peterson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Stephanie Peterson was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.