Individual
VICTORIA LYNN PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 436-6328
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 436-6328
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.0034521
OH
363LN0000X
Neonatal Nurse Practitioner
Primary
APN.1000338-NP
CO
363LN0005X
Critical Care Neonatal Nurse Practitioner
104656728
OH
363LN0005X
Critical Care Neonatal Nurse Practitioner
APN.100338-NP
CO
Other
Enumeration date
04/04/2023
Last updated
01/06/2025
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