Individual
SUZANNE V PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, RN
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4700
Mailing address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6695380-4405
UT
363L00000X
Nurse Practitioner
6695380-8900
UT
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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