Michelle Lynn Petrie, RN

Registered Nurse · Oconomowoc, WI

Individual Active NPI

NPI number 1104394089

Practice location

N56w34882 Lake Dr
Oconomowoc, WI 53066-2462
Phone
(262) 409-0863

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NPI record

NPI
1104394089
Entity type
Individual (Type 1)
Enumeration date
November 8, 2018
Last updated
November 8, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 23025730 WI

About Michelle Petrie

Michelle Lynn Petrie, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is N56w34882 Lake Dr, Oconomowoc, WI 53066-2462. The NPI number 1104394089 was assigned on November 8, 2018 and the record was last updated on November 8, 2018.

Michelle Petrie lists a license in the registry: #23025730 (WI) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michelle Lynn Petrie, RN?

The NPI number is 1104394089.

What is the phone number of Michelle Petrie?

The phone number listed for the practice location is (262) 409-0863.

Where is Michelle Petrie located?

N56w34882 Lake Dr, Oconomowoc, WI 53066-2462.

What is the taxonomy code for Michelle Petrie?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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