Healthcare Provider Details

I. General information

NPI: 1679402374
Provider Name (Legal Business Name): PRECISION WOUND CARE SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6660 TIMBERLINE RD STE 140
HIGHLANDS RANCH CO
80130-5345
US

IV. Provider business mailing address

6660 TIMBERLINE RD STE 140
HIGHLANDS RANCH CO
80130-5345
US

V. Phone/Fax

Practice location:
  • Phone: 303-827-7797
  • Fax: 303-647-7721
Mailing address:
  • Phone: 303-827-7797
  • Fax: 303-647-7721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRIA PISANO PETERSON
Title or Position: AUTHORIZED OFFICIAL
Credential: DNP
Phone: 480-239-7868