Individual
PATTI KAY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 905-7354
Mailing address
11705 W 52ND AVE, WHEAT RIDGE, CO 80033-1907
(303) 905-7354
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
177564
CO
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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