Individual
SANDRA C PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 C ST, SALT LAKE CITY, UT 84143-1005
(801) 408-1100
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-1100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3107284405
UT
Other
Enumeration date
07/20/2006
Last updated
10/17/2007
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