Most Relevant Information
Provider Data
| NPI Number: | 1003069774 |
| Provider Name: | REBEKAH LYNN PETKOFF FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 13686 |
Most Important Dates
| Enumeration Date: | 10/28/2008 |
| Last Updated: | 06/05/2014 |
Provider Practice Location
12959 S PARKER RD
PARKER
CO
801343447
Practice Location Phone/Fax
| Phone: | 7208424089 |
| Fax: | 7208424090 |
Provider Mailing Location
1560 S ASH ST
DENVER
CO
802223703
Provider Mailing Phone/Fax
| Phone: | 6159690007 |
| Fax: |