Individual
LISA MESQEL' PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP, FNP, PMHNP
Contact information
Practice address
3330 S RIO GRANDE AVE, MONTROSE, CO 81401-4847
(970) 249-7751
(970) 249-5029
Mailing address
1677 NIAGARA RD, MONTROSE, CO 81401-5072
(970) 432-8193
(970) 410-9349
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0992858
CO
363LA2100X
Acute Care Nurse Practitioner
0992858
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0992858
CO
Other
Enumeration date
06/26/2013
Last updated
08/04/2026
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