Individual provider · Type 1 NPI
Glen Peterson, NP
Adult Health Nurse Practitioner · Aurora, CO
NPI number
1508956186
Active
Practice location
12605 E 16th Ave
Aurora, CO 80045-2545
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | NP4860 (CO) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | APN.0004860-NP (CO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1508956186
Glen Peterson, NP's National Provider Identifier is 1508956186, issued on Oct 13, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Aurora, CO. The record was last updated on Oct 17, 2018.