person
Colleen Flora Petullo, NP-C
Family Nurse Practitioner in Prescott Valley, Arizona
NPI 1790333003

Colleen Flora Petullo is a Family Nurse Practitioner based in Prescott Valley, AZ and is specialized in Family. Colleen Flora Petullo practices in Prescott Valley, AZ and has the professional credentials of NP-C. The NPI Number for Colleen Flora Petullo is 1790333003 and holds a License No. 59225 (Arizona).

The current practice location address for Colleen Flora Petullo is 9695 N. Fiorella St., Prescott Valley, AZ and can be reached out via phone at 702-460-9009.

Location: 9695 N. Fiorella St., Prescott Valley, AZ, 86315
person
Provider Profile Details
NPI Number
1790333003
Provider Name
Colleen Flora Petullo
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
9695 N. Fiorella St., Prescott Valley, AZ, 86315
Phone Number
702-460-9009
Fax Number
Provider Enumeration Date
08/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9695 N. Fiorella St.
City
State
Zip
86315
Phone Number
702-460-9009
Fax Number
person
Provider Business Mailing Address Details
Address
9695 N. Fiorella St.
City
State
Zip
86315
Phone Number
702-460-9009
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
59225 (New Mexico)
Definition
Definition to come...
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