Individual provider · Type 1 NPI
Kathy Jean Peterson, CPNP
Pediatric Nurse Practitioner · Monument, CO
NPI number
1821047754
Active
Practice location
192 Front St
Monument, CO 80132-6738
Fax (719) 488-8270
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 125210 (CO) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1821047754
Kathy Jean Peterson, CPNP's National Provider Identifier is 1821047754, issued on May 8, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Monument, CO. The record was last updated on Sep 11, 2008.