Individual
NICOLE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14942 S VINTAGE VIEW CT, DRAPER, UT 84020-3303
(307) 679-4886
Mailing address
14942 S VINTAGE VIEW CT, DRAPER, UT 84020-3303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11102214-4405
UT
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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