Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | APN.0996100-NP | CO |
NPI | 1053915017 |
---|---|
Provider Name | Morgan Petrangelo |
First Address | Denver, CO 80205-4017 |
Second Address | Denver, CO 80205-4017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2020 |
Last Update Date | 30/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
APN.0996100-NP | COLORADO BOARD OF NURSING - NURSE PRACTITIONER APN (01) | CO |