Individual provider · Type 1 NPI
Pamela R. Petersen, AUD
Specialist · Paonia, CO
NPI number
1932267523
Active
Practice location
11931 4050 Rd
Paonia, CO 81428-6418
Fax (970) 527-3354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 29 (CO) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Paonia
About NPI 1932267523
Pamela R. Petersen, AUD's National Provider Identifier is 1932267523, issued on Dec 5, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Paonia, CO. The record was last updated on Oct 30, 2013.