Individual provider · Type 1 NPI

Madeliene Alexandra Peterson

Certified Registered Nurse Anesthetist · American Fork, UT

NPI number 1003698507 Active

Practice location

170 N 1100 E
American Fork, UT 84003-2961

Mailing address

2221 Lakeside Blvd Ste 600
Richardson, TX 75082-4416

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X12058297-3102 (UT)
Certified Registered Nurse Anesthetist Primary 367500000X12058297-4406 (UT)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1003698507

Madeliene Alexandra Peterson's National Provider Identifier is 1003698507, issued on Oct 18, 2023. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in American Fork, UT. The record was last updated on Apr 29, 2025.