ELIZABETH A RADTKE PETRI, NP, Family KESHENA, WI

Contact Information

ELIZABETH A RADTKE PETRI, NP

W3275 WOLF RIVER ROAD
KESHENA, WI 54135

Phone: 715-799-3361
Fax: 715-799-3099
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for ELIZABETH A RADTKE PETRI · (Female)

NPI Number	`1942240569`
Status	Active
Credentials	NP (Nurse Practitioner)
Entity	Individual
Enumeration date	06/08/2006
Last updated	03/07/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	WI License # 88852-030 WI Medicaid 43853300
Hospital affiliation(s)	SHAWANO MED CTR - (Critical Access) 309 N BARTLETTE ST SHAWANO, WI 54166 THEDA CLARK MED CTR - (Acute Care) 130 2ND ST NEENAH, WI 54956

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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ELIZABETH A RADTKE PETRI, NP – NPI #1942240569Family

Contact Information

Specialty

Family

NPI Profile & details for ELIZABETH A RADTKE PETRI · (Female)

Reviews for ELIZABETH A RADTKE PETRI

ELIZABETH A RADTKE PETRI, NP – NPI #1942240569
Family