TIA PETERSON

PROVIDENCE, UT
NPI1902277908
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  324961-4405)
Enumeration Date2015-10-15
Last Update Date2023-03-03
Business Address
TIA PETERSON NP-C
435 N GATEWAY DR STE 801
PROVIDENCE, UT 84332-9004
Phone number: 435-787-1023
Mailing Address
TIA PETERSON NP-C
435 N GATEWAY DR STE 801
PROVIDENCE, UT 84332-9004
Phone number: 435-787-1023
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