Individual
NANCY ANNE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5495 ARAPAHOE AVE STE 100, BOULDER, CO 80303-1224
(303) 415-4250
(303) 440-9629
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 415-4250
(303) 440-9629
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0001107
CO
Other
Enumeration date
01/11/2007
Last updated
05/10/2019
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