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SHIRLEY MARIE PETERSEN LPN
NPI 1689680084
Licensed Practical Nurse in Appleton, WI

Active since July 31, 2006
10 TRI PARK WAY, APPLETON, WI 54914(920) 831-0070(920) 831-7939 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shirley Marie Petersen Lpn NPPES

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

SHIRLEY MARIE PETERSEN LPN (NPI 1689680084) is an individual licensed practical nurse in Appleton, Wisconsin, licensed in Wisconsin (16432-031) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1689680084
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHIRLEY MARIE PETERSENCredential: LPN
Location Address10 TRI PARK WAYAppleton, WI 54914-1658
Mailing Address2670 Park RdGreenleaf, WI 54126-9666
Phone(920) 831-0070
Fax(920) 831-7939
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689680084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WI · 16432-031
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

10 TRI PARK WAY, Appleton, WI 54914
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Other Identifiers 1

Other16432-031WI · Lpn

Other Providers at the Same Location NPPES 20

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

MS. BONNIE J MCCLUSKEY NP
Registered Nurse (General Practice)
10 TRI PARK WAY
APPLETON, WI 54914
Outagamie County (921) 831-0070
DR. JAMES E BURWITZ MD
Family Medicine
10 TRI PARK WAY, JOHN H BRADLEY DEPT OF VETERANS AFFAIRS OUTPT CLINIC
APPLETON, WI 54914
Outagamie County (920) 831-0070
LORI POSS NP
Nurse Practitioner (Family)
10 TRI PARK WAY
APPLETON, WI 54914
Outagamie County (920) 831-7918
DR. MARK GORDON REGNIER PHARM.D.
Pharmacist (Pharmacotherapy)
10 TRI PARK WAY
APPLETON, WI 54914
Outagamie County (920) 831-0070
MR. GREGORY A. ALEFF LCSW
Social Worker (Clinical)
10 TRI PARK WAY
APPLETON, WI 54914
Outagamie County (920) 831-7909
MS. MICHAELE WICKS KULICK MSW, LCSW
Social Worker (Clinical)
10 TRI PARK WAY
APPLETON, WI 54914
Outagamie County (920) 831-0070
JOHN WILLIAM WEEDEN MSW, LCSW
Social Worker (Clinical)
10 TRI PARK WAY
APPLETON, WI 54914
Outagamie County (920) 831-7908
DR. JAMES J DOTY I D.P.M.
Podiatrist
10 TRI PARK WAY
APPLETON, WI 54914
Outagamie County (920) 831-0070

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 Shirley Petersen's NPI number?

The NPI number for Shirley Petersen is 1689680084. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Shirley Petersen located?

Shirley Petersen practices at 10 Tri Park Way, Appleton, WI 54914. The listed phone number is (920) 831-0070.

What is Shirley Petersen's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shirley Petersen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.