TIFFANI PETERSEN

PROVO, UT
NPI1255968681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  7453288-4405)
Enumeration Date2020-03-25
Last Update Date2026-01-27
Business Address
TIFFANI PETERSEN NP
395 W COUGAR BLVD STE 601
PROVO, UT 84604-3331
Phone number: 801-357-7525
Mailing Address
TIFFANI PETERSEN NP
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-7525
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