Rebekah Lynn Petkoff
Nurse Practitioner - Family Medicine
12959 S Parker Rd
Parker
, Colorado 80134-3447
Rebekah Lynn Petkoff
Nurse Practitioner - Family Medicine
12959 S Parker Rd
Parker
, Colorado 80134-3447
(615) 969-0007
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Rebekah Lynn Petkoff
- 1560 S Ash St
- Denver, CO
- Zip : 80222-3703
- Phone : (615) 969-0007
Second Address
- Rebekah Lynn Petkoff
- 12959 S Parker Rd
- Parker, CO
- Zip : 80134-3447
- Fax : (720) 842-4090
- Phone : (720) 842-4089
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Is Rebekah Lynn Petkoff a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 0000156-C-NP | CO |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 13686 | TN |
National Provider Identifier
| NPI | 1003069774 |
|---|---|
| Provider Name | Rebekah Lynn Petkoff |
| First Address | Denver, CO 80222-3703 |
| Second Address | Parker, CO 80134-3447 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2008 |
| Last Update Date | 05/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.