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Individual

CHRISITNE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
1034 W 500 N, PROVO, UT 84601-2537
(801) 357-7707
Mailing address
1034 N 500 W, PROVO, UT 84604-3337
(801) 357-7707

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
199990-4405
UT

Other

Enumeration date
12/05/2013
Last updated
01/11/2019
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