Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colleen Flora Petullo, NP-C

Individual provider Family Nurse Practitioner · NPI 1790333003

Colleen Flora Petullo, NP-C is a Family Nurse Practitioner in Prescott Valley, Arizona. Licensed in Arizona and New Mexico. Registered with an NPI since 2019.

Licensed in
AZ, NM
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

9695 N Fiorella St
Prescott Valley, AZ 86315
Phone: (702) 460-9009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RNP227728 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 59225 (NM)

Record details

NPI number1790333003
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 29, 2019
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020
Mailing address9695 N. Fiorella St., Prescott Valley, AZ 86315

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