Glenn D. Petersen, PA-C
Occupational Medicine · Denver, CO
UnclaimedPA-CNPI 1013033323
- Primary taxonomy
- 2083X0100X
- Enumerated
- 2007-03-21
- Practice location
- Denver, CO
- Last NPPES update
- 2009-06-12
State licenses
- CO · Physician assistant · PAExpiredthrough 2022verify
- CO · Practical nurse · PNExpiredthrough 1986verify
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.