NICOLE PETERSON, PA-C
Physician Assistant
Active
Individual
NPI: 1144694068
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 9495419-1206 (UT) |
Frequently Asked Questions
NPI 1144694068 is the National Provider Identifier for NICOLE PETERSON, PA-C, a Physician Assistant provider located in Bountiful, UT. This NPI was enumerated on November 16, 2015.
NICOLE PETERSON, PA-C practices at 1551 RENAISSANCE TOWNE DR STE 500, Bountiful, UT 84010.
Quick Facts
- NPI
- 1144694068
- Type
- Individual
- Enumerated
- Nov 16, 2015
- Last Updated
- Mar 4, 2025
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