Petkoff, Angela T

Petkoff, Angela T is an individual health care provider with primary practice located at 10900 W 44Th Ave Unit 200 , Wheat Ridge CO 80033-2742. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Petkoff, Angela T can be contacted via phone (303) 993-1330.

Contact Information

Primary practice address
10900 W 44Th Ave Unit 200 Wheat Ridge CO 80033-2742
Phone: (303) 993-1330
Fax: (303) 957-5757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APN.0994018-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN.0994018-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN.0994018-NP Colorado

Profile Details

NPI number 1154807667
LBN Legal business name Petkoff, Angela T
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2018
Last updated Sep 17th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154807667 NPPES
Colorado Other APN.0994018-NP COLORADO DEPARTMENT OF REGULATORY AGENCIES

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