Nicole Sheree Peterson, PA-C

NPI #1144694068 in Bountiful, Utah

Provider Information

NPI Number: 1144694068
Entity Type: Individual
Name: Nicole Sheree Peterson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 16, 2015
Last Updated: Mar 4, 2025

Practice Location

Address: 1551 RENAISSANCE TOWNE DR STE 500
City: Bountiful
State: Utah
ZIP Code: 84010-7678
Phone: (801) 295-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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