Colleen Petullo, NP-C
NPI 1790333003 · Family Nurse Practitioner · Prescott Valley, AZ
Colleen Petullo, NP-C is a Family Nurse Practitioner provider in Prescott Valley, AZ (NPI 1790333003).
Provider details
- NPI number
- 1790333003
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 59225 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-08-29
- Last updated
- 2020-12-09
- Certified
- 2020-12-09
Frequently asked questions
- What is Colleen Petullo's NPI number?
- Colleen Petullo's National Provider Identifier (NPI) is 1790333003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Colleen Petullo's specialty?
- Colleen Petullo is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Colleen Petullo located?
- Colleen Petullo's practice location on file with NPPES is 9695 N. Fiorella St., Prescott Valley, AZ 86315.
- What is Colleen Petullo's phone number?
- The practice phone number listed in the NPPES registry for Colleen Petullo is (702) 460-9009.
- Is Colleen Petullo's NPI active?
- Yes — Colleen Petullo's NPI (1790333003) is active in the NPPES registry as of the last update on 2020-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.