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Kirstin Chantell Peterson
Psychiatric/Mental Health Nurse Practitioner in Provo, Utah
NPI 1972291714

Kirstin Chantell Peterson is a Psychiatric/Mental Health Nurse Practitioner based in Provo, UT and is specialized in Psychiatric/Mental Health. Kirstin Chantell Peterson practices in Provo, UT. The NPI Number for Kirstin Chantell Peterson is 1972291714 and holds a License No. 9813033-4405 (Utah).

The current practice location address for Kirstin Chantell Peterson is 750 N Freedom Blvd Ste 300, Provo, UT and can be reached out via phone at 801-373-4760 and via fax at 801-373-0639.

Location: 750 N Freedom Blvd Ste 300, Provo, UT, 84601-1690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972291714
Provider Name
Kirstin Chantell Peterson
Credential
Provider Entity Type
Individual
Gender
Female
Address
750 N Freedom Blvd Ste 300, Provo, UT, 84601-1690
Phone Number
801-373-4760
Fax Number
801-373-0639
Provider Enumeration Date
04/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 N Freedom Blvd Ste 300
City
Provo
State
Utah
Zip
84601-1690
Phone Number
801-373-4760
Fax Number
801-373-0639
person
Provider Business Mailing Address Details
Address
750 N Freedom Blvd Ste 300
City
Provo
State
Utah
Zip
84601-1690
Phone Number
801-373-4760
Fax Number
801-373-0639
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
9813033-4405 (Utah)
Definition
Definition to come...
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