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Individual

MELINDA LEE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
200 N 400 E, PANGUITCH, UT 84759-7803
(435) 676-8842
Mailing address
200 N 400 E, PANGUITCH, UT 84759-7803
(435) 676-8842
(435) 676-1544

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8054803-4405
UT

Other

Enumeration date
02/14/2023
Last updated
11/07/2025
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