Individual
MS. ANGELA T PETKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10900 W 44TH AVE UNIT 200, WHEAT RIDGE, CO 80033-2742
(303) 993-1330
(303) 957-5757
Mailing address
10900 W 44TH AVE, UNIT 200, WHEAT RIDGE, CO 80033-2742
(720) 923-1239
(303) 284-4082
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0994018-NP
CO
363LA2200X
Adult Health Nurse Practitioner
APN.0994018-NP
CO
363LG0600X
Gerontology Nurse Practitioner
APN.0994018-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN.0994018-NP
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
07/17/2018
Last updated
09/17/2019
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