Individual
MRS. LINDSAY MASHAE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
519 W STATE RD STE 103, PLEASANT GROVE, UT 84062-2158
(801) 477-4368
Mailing address
2096 E EMERALD AVE, EAGLE MOUNTAIN, UT 84005-5368
(435) 730-1957
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
12087835-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12087835-8900
UT
Other
Enumeration date
10/16/2024
Last updated
10/25/2024
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