GLEN PETERSON

AURORA, CO
NPI1508956186
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CO  APN.0004860-NP)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: CO  NP4860)
Enumeration Date2006-10-13
Last Update Date2018-10-17
Business Address
GLEN PETERSON NP
12605 E 16TH AVE
AURORA, CO 80045-2545
Phone number: 720-848-0000
Mailing Address
GLEN PETERSON NP
PO BOX 110429
AURORA, CO 80042-0429
Phone number: 303-493-7000