Individual
CARLENE PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3300 N TRIUMPH BLVD STE 500, LEHI, UT 84043-6475
(801) 821-2613
Mailing address
3300 N TRIUMPH BLVD STE 500, LEHI, UT 84043-6475
(801) 821-2613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9897756-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9897756-4405
UT
Other
Enumeration date
06/27/2024
Last updated
05/08/2026
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