Individual
SONYA MAGDELANO PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
4601 CORBETT DR, FORT COLLINS, CO 80528-9579
(970) 207-4801
Mailing address
4561 TWIN PEAKS DR, LOVELAND, CO 80537-3458
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
96647
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57737576
—
CO
Enumeration date
03/21/2006
Last updated
10/20/2017
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