Individual
ASHLEY ELIZABETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
115 GOLF COURSE RD STE E, LOGAN, UT 84321-5934
(435) 999-4059
Mailing address
115 GOLF COURSE RD STE E, LOGAN, UT 84321-5934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7825544-4405
UT
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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