MS. ANGELA T PETKOFF NP
NPI 1154807667
Nurse Practitioner in Wheat Ridge, CO

Q: What is Angela Petkoff's NPI number?

The NPI number for Angela Petkoff is 1154807667. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Q: What is Angela Petkoff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Petkoff was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2018

10900 W 44TH AVE UNIT 200, WHEAT RIDGE, CO 80033(303) 993-1330(303) 957-5757 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2019, Feb 12, 2019, Feb 5, 2019 and 2 more (5 updates tracked since 2018).

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About Ms. Angela T Petkoff Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ANGELA T PETKOFF NP (NPI 1154807667) is an individual nurse practitioner in Wheat Ridge, Colorado, licensed in Colorado (APN.0994018-NP) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1154807667

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. ANGELA T PETKOFFCredential: NP

Location Address10900 W 44TH AVE UNIT 200Wheat Ridge, CO 80033-2742

Mailing Address10900 W 44th Ave, Unit 200Wheat Ridge, CO 80033-2742 · (720) 923-1239 · Fax (303) 284-4082

Phone(303) 993-1330

Fax(303) 957-5757

Sole ProprietorNo

Enumeration DateJuly 17, 2018

Last NPPES UpdateSeptember 17, 20195 updates tracked since enumeration

✔ NPI 1154807667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CO · APN.0994018-NP

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APN.0994018-NP (CO)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APN.0994018-NP (CO)

10900 W 44TH AVE UNIT 200, Wheat Ridge, CO 80033

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Other Identifiers 1

OtherAPN.0994018-NPCO · Colorado Department Of Regulatory Agencies

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY CLARE KUBOVIC FNP-C

Nurse Practitioner (Family)