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Individual

MS. STEFFANIE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
368 E RIVERSIDE DR, STE A, ST GEORGE, UT 84790-6897
(435) 673-1149
(435) 673-1182
Mailing address
6360 S 3000 E, STE 220, SALT LAKE CITY, UT 84121-6924
(801) 944-3199
(801) 944-3180

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5322635-8900
UT
364SF0001X
Family Health Clinical Nurse Specialist
Primary
5322635-4405
UT

Other

Enumeration date
07/20/2012
Last updated
01/05/2016
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