Individual
MICHELLE NICOLE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2797 N HIGHWAY 89 STE 100, OGDEN, UT 84404-1231
(801) 528-7113
(801) 782-6801
Mailing address
2797 N HWY 89 STE 100, OGDEN, UT 84404-1231
(801) 528-7113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10662515-4405
UT
Other
Enumeration date
12/11/2023
Last updated
06/24/2025
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