Individual provider · Type 1 NPI

Angela T. Petkoff, NP

Nurse Practitioner · Wheat Ridge, CO

NPI number 1154807667 Active

Practice location

10900 W 44th Ave Unit 200
Wheat Ridge, CO 80033-2742

Fax (303) 957-5757

Mailing address

10900 W 44th Ave, Unit 200
Wheat Ridge, CO 80033-2742

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XAPN.0994018-NP (CO)
Adult Health Nurse Practitioner 363LA2200XAPN.0994018-NP (CO)
Nurse Practitioner Primary 363L00000XAPN.0994018-NP (CO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154807667

Angela T. Petkoff, NP's National Provider Identifier is 1154807667, issued on Jul 17, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wheat Ridge, CO. The record was last updated on Sep 17, 2019.