NATASHA NICOLLE PETERSON

PARK CITY, UT
NPI1972069532
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: UT  8454365-4405)
Enumeration Date2019-02-19
Last Update Date2021-12-20
Business Address
NATASHA NICOLLE PETERSON
STAT MD, 1784 UINTA WAY E
PARK CITY, UT 84098
Phone number: 435-604-0160
Mailing Address
NATASHA NICOLLE PETERSON
3741 S CANLEY VALE CT
SALT LAKE CITY, UT 84115-3131
Phone number: 801-699-6656
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