Individual
ALEXIS GUNDERSEN PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6048 S HAZELHURST DR, TAYLORSVILLE, UT 84129-5108
(801) 560-9124
Mailing address
6048 S HAZELHURST DR, TAYLORSVILLE, UT 84129-5108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9252507-4405
UT
Other
Enumeration date
01/01/2025
Last updated
01/11/2025
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