Individual
SHANTEL ELIZABETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
609 S 100 E, BOUNTIFUL, UT 84010-5002
(801) 927-7682
Mailing address
609 S 100 E, BOUNTIFUL, UT 84010-5002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3576153102
UT
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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