Individual
ANDREW SPENCER PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, NP, FNP-BC
Contact information
Practice address
5360 S 2700 W, TAYLORSVILLE, UT 84129-1524
(801) 996-9761
(801) 996-9762
Mailing address
PO BOX 198560, ATLANTA, GA 30384-8560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8671455-4405
UT
Other
Enumeration date
08/12/2019
Last updated
03/24/2026
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