Individual
DUSTIN VAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
PO BOX 220738, CENTERFIELD, UT 84622-0738
(801) 851-0718
Mailing address
PO BOX 220738, CENTERFIELD, UT 84622-0738
(801) 851-0718
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14049839-4405
UT
Other
Enumeration date
07/06/2024
Last updated
07/08/2024
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