Individual
HOANG KIM PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
16728 E SMOKY HILL RD UNIT 10D, CENTENNIAL, CO 80015-2400
(303) 766-7006
(303) 766-1023
Mailing address
2550 N THUNDERBIRD CIR STE 303, MESA, AZ 85215-1219
(480) 455-4932
(480) 776-0025
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-10342
CO
363LP0200X
Pediatric Nurse Practitioner
1649
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200342180 A
—
OK
05
—
283185101
—
TX
05
—
283185102
—
TX
05
—
283185103
—
TX
05
—
283185104
—
TX
05
—
78459834
—
NM
Enumeration date
01/26/2011
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us