Debra Jean Petersen, NP
Nurse Practitioner, Adult Health in Broomfield, CO. Individual provider (NPI-1).
NPI number1265951925
StatusActive
Last updated in NPPESSep 3, 2021
Details
- NPI
- 1265951925
- Entity type
- Individual (NPI-1)
- Name
- Debra Jean Petersen
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2017
- Certification date
- Sep 3, 2021
- Last updated
- Sep 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | APN.0993074-NP | CO | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | APN.0993074-NP | CO | |
| 363LP2300X | Nurse Practitioner, Primary Care | APN.0993074-NP | CO |
Practice location
11820 Destination DrBroomfield, CO 80021-2518
Phone 720-848-0000
Mailing address
P.O. Box 17528Denver, CO 80217-7528
Phone 303-306-7783
Other practice locations
499 E Hampden Ave Ste 360
Englewood, CO 80113-3877
Englewood, CO 80113-3877
Phone 303-781-4485 · Fax 720-274-0064
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