Individual
DEBRA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1008 PATTON ST, FORT COLLINS, CO 80524-4018
(970) 494-4200
Mailing address
3342 KEENLAND WAY, WELLINGTON, CO 80549-3212
(970) 556-8606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0193620
CO
Other
Enumeration date
12/11/2020
Last updated
01/31/2022
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