Individual
MS. CATHERINE KELLY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5711 S 1475 E STE 201, SOUTH OGDEN, UT 84403-5185
(801) 332-9034
Mailing address
5711 S 1475 E STE 201, SOUTH OGDEN, UT 84403-5185
(801) 332-9034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5901190-4405
UT
Other
Enumeration date
03/27/2019
Last updated
08/01/2023
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