Individual
MADDISON J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1756 W ANTELOPE DR, LAYTON, UT 84041-1143
(801) 773-4840
Mailing address
2028 S 4140 W, OGDEN, UT 84401-6000
(801) 695-7670
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F09251161
UT
Other
Enumeration date
10/03/2025
Last updated
10/06/2025
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