KIRSTIN CHANTELL PETERSON

PROVO, UT
NPI1972291714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  9813033-4405)
Enumeration Date2023-04-28
Last Update Date2023-04-28
Business Address
KIRSTIN CHANTELL PETERSON
750 N FREEDOM BLVD STE 300
PROVO, UT 84601-1690
Phone number: 801-373-4760
Mailing Address
KIRSTIN CHANTELL PETERSON
750 N FREEDOM BLVD STE 300
PROVO, UT 84601-1690
Phone number: 801-373-4760