Individual
LISA MESQEL' PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP, FNP
Contact information
Practice address
307 TRENT DR, DUMC 3322, DURHAM, NC 27710-3038
(919) 684-3786
Mailing address
2303 S TOWNSEND AVE STE A, MONTROSE, CO 81401-5452
(970) 249-7751
(970) 249-5029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0992858
CO
363LA2100X
Acute Care Nurse Practitioner
0992858
CO
Other
Enumeration date
06/26/2013
Last updated
11/25/2024
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