Tia Peterson, NP-C
NPI #1902277908 in Providence, Utah
Provider Information
- NPI Number
- 1902277908
- Entity Type
- Individual
- Name
- Tia Peterson, NP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP-C
- Enumeration Date
- Oct 15, 2015
- Last Updated
- Mar 3, 2023
Practice Location
- Address
- 435 N GATEWAY DR STE 801
- City
- Providence
- State
- Utah
- ZIP Code
- 84332-9004
- Phone
- (435) 787-1023
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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