Petersen, Debra Jean

Petersen, Debra Jean is an individual health care provider with primary practice located at 11820 Destination Dr , Broomfield CO 80021-2518. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Petersen, Debra Jean can be contacted via phone (720) 848-0000.

Contact Information

Primary practice address
11820 Destination Dr Broomfield CO 80021-2518
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X APN.0993074-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APN.0993074-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN.0993074-NP Colorado

Profile Details

NPI number 1265951925
LBN Legal business name Petersen, Debra Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2017
Last updated Sep 3rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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