person
Tia Peterson, NP-C
Family Nurse Practitioner in Providence, Utah
NPI 1902277908

Tia Peterson is a Family Nurse Practitioner based in Providence, UT and is specialized in Family. Tia Peterson practices in Providence, UT and has the professional credentials of NP-C. The NPI Number for Tia Peterson is 1902277908 and holds a License No. 324961-4405 (Utah).

The current practice location address for Tia Peterson is 435 N Gateway Dr Ste 801, Providence, UT and can be reached out via phone at 435-787-1023 and via fax at 435-787-1882.

Location: 435 N Gateway Dr Ste 801, Providence, UT, 84332-9004
person
Provider Profile Details
NPI Number
1902277908
Provider Name
Tia Peterson
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
435 N Gateway Dr Ste 801, Providence, UT, 84332-9004
Phone Number
435-787-1023
Fax Number
435-787-1882
Provider Enumeration Date
10/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
435 N Gateway Dr Ste 801
City
State
Zip
84332-9004
Phone Number
435-787-1023
Fax Number
435-787-1882
person
Provider Business Mailing Address Details
Address
435 N Gateway Dr Ste 801
City
State
Zip
84332-9004
Phone Number
435-787-1023
Fax Number
435-787-1882
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
324961-4405 (Utah)
Definition
Definition to come...
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