Individual
ANJA KEB PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3450 BROADWAY ST, BOULDER, CO 80304-1824
(303) 441-1000
Mailing address
3450 BROADWAY ST, BOULDER, CO 80304-1824
(303) 441-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0190409
CO
Other
Enumeration date
02/01/2013
Last updated
04/06/2021
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