MS. SUZAN RAE PETERSON LPN NPI 1912201526

NPI Information

  • NPI: 1912201526
  • Provider Name: MS. SUZAN RAE PETERSON, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 6 MAPLE WOOD LN
    UNIT 10
    MADISON, WI
    ZIP 53704
  • Phone: (608) 298-7328

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NPI Details

MS. Suzan Rae Peterson, LPN is a licensed practical nurse in Madison, WI. The provider is 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. MS. Suzan Rae Peterson, LPN NPI is 1912201526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6 MAPLE WOOD LN
UNIT 10
MADISON, WI
ZIP 53704-976
Phone: (608) 298-7328
Fax: (608) 298-7328

The enumeration date for this NPI number is 12/23/2010 and was last updated on 12/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical Nurse19010-031WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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