Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHY JEAN PETERSON, CPNP
ActiveKATHY JEAN PETERSON, CPNP is a Pediatric Nurse Practitioner healthcare provider located in MONUMENT, Colorado. NPI 1821047754 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · MONUMENT, CO
Registration Details
- NPI Number
- 1821047754
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 8, 2006 (20.281553151601 yrs)
- Last Updated
- Sep 11, 2008
- License
-
125210 (CO)
Practice Information
- Address
-
192 FRONT STMONUMENT, CO, 801326738Browse CO providers · Browse ZIP 80132
- Phone
- 7194886998
- Fax
- 7194888270
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.