Traci Lynn Peterson FNP-BC

NPI 1285965293 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1285965293
Gender Female
Enumeration Date 01/15/2010
Last Updated 07/07/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
3225 W GORDON AVE
#1
LAYTON UT, 84041-6508, US
Phone (801) 773-7232
Fax (801) 927-4218
Business Location
3225 W GORDON AVE
#1
LAYTON UT, 84041-6508, US
Phone (801) 773-7232
Fax (801) 927-4212
Toxanomy
Taxonomy Code 363L00000X
License State Utah
License Number 5696047-4405
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According to our database, Mrs. Traci Lynn Peterson FNP-BC NPI is 1285965293, taxonomy code is 363L00000X and license number is 5696047-4405, license state is located at Utah. Traci Lynn Peterson FNP-BC physically located at 3225 W Gordon Ave, Layton UT, 84041-6508. NPI Number Traci Lynn Peterson FNP-BC has the Individual type.

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1285965293 NPI number is provided on an as is basis without warranty of any kind. 1285965293 is maintained by the National Plan & Provider Enumeration System. The contents of Traci Lynn Peterson FNP-BC are for informational purposes only.