Individual
AMANDA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1400 E BOULDER ST STE 500, COLORADO SPRINGS, CO 80909-5533
(719) 364-6487
(719) 364-6488
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2412
(970) 490-4153
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP142744
TX
363LF0000X
Family Nurse Practitioner
Primary
C-APN.0004685-C-NP
CO
Other
Enumeration date
11/07/2019
Last updated
11/11/2022
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