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NPI Code Detail

MEDICARE: TIFFANY S PETERSON APN, RN

MEDICARE: TIFFANY S PETERSON APN, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.0995444-NPCO

General Provider Information

NPI Number : 1295139517
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY S PETERSON APN, RN
Provider Business Mailing Address
First Line : 8310 S VALLEY HWY STE 300
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80112-5815
Country : US
Telephone Number : 303-222-7937
Fax Number : 303-532-1049
Provider Business Practice Location Address
First Line : 8310 S VALLEY HWY STE 300
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80112-5815
Country : US
Telephone Number : 303-222-7937
Fax Number : 303-532-1049
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2014
Last Update Date : 05/02/2025

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