TARA ANNE PETERSON PNP
NPI 1710353560
Nurse Practitioner - Pediatrics in Brookfield, WI

Active since August 17, 2015
13950 W CAPITOL DR STE 200, BROOKFIELD, WI 53005(262) 781-3065 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Anne Peterson Pnp NPPES

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

TARA ANNE PETERSON PNP (NPI 1710353560) is an individual pediatrics provider in Brookfield, Wisconsin, licensed in Wisconsin (6541-33) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1710353560
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTARA ANNE PETERSONCredential: PNP
Location Address13950 W CAPITOL DR STE 200Brookfield, WI 53005-2441
Mailing Address1300 N Prospect Ave Apt 211Milwaukee, WI 53202-3045 · (720) 320-0790
Sole ProprietorNo
Enumeration DateAugust 17, 2015
NPI 1710353560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in WI · 6541-33
13950 W CAPITOL DR STE 200, Brookfield, WI 53005

Other Providers at the Same Location NPPES 4

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

Pediatrics
13950 W CAPITOL DR STE 200
BROOKFIELD, WI 53005
Pediatrics
13950 W CAPITOL DR STE 200
BROOKFIELD, WI 53005
Counselor (Mental Health)
13950 W CAPITOL DR STE 200
BROOKFIELD, WI 53005
Nurse Practitioner (Pediatrics)
13950 W CAPITOL DR STE 200
BROOKFIELD, WI 53005

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 Tara Peterson's NPI number?

The NPI number for Tara Peterson is 1710353560. It was assigned to this individual provider in the NPPES registry on August 17, 2015.

Where is Tara Peterson located?

Tara Peterson practices at 13950 W Capitol Dr Ste 200, Brookfield, WI 53005. The listed phone number is (262) 781-3065.

What is Tara Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Tara Peterson was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.