Search › Utah › 363LF0000X
Nicole Petersen
NPI 1710840012 · on the registry since 2025
Practice
- Address
- 14942 S Vintage View Ct
Draper, UT 84020 - Phone
- (307) 679-4886
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah