Individual
KATHY JEAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
192 FRONT ST, MONUMENT, CO 80132-6738
(719) 488-6998
(719) 488-8270
Mailing address
192 FRONT ST, MONUMENT, CO 80132-6738
(719) 488-6998
(719) 488-8270
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
125210
CO
Other
Enumeration date
05/08/2006
Last updated
09/11/2008
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