Individual provider · Type 1 NPI

Madison Grey Peterson, APRN-CNP

Family Nurse Practitioner · Longmont, CO

NPI number 1174412746 Active

Practice location

205 S Main St
Longmont, CO 80501-1716

Call (303) 702-1612 Map

Mailing address

110 Main St Unit 1202
Longmont, CO 80501-6046

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	C-APN.0103548 (CO)

Family Nurse Practitioner: Definition to come...

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About NPI 1174412746

Madison Grey Peterson, APRN-CNP's National Provider Identifier is 1174412746, issued on Jun 30, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Longmont, CO. The record was last updated on Jun 30, 2025.