Individual
SAMANTHA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 N MAIN ST, NEPHI, UT 84648-1004
(435) 623-1456
(435) 623-1127
Mailing address
152 N 400 W, EPHRAIM, UT 84627-5549
(435) 283-8400
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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