Individual provider · Type 1 NPI
Alexis Gundersen Petersen, FNP
Family Nurse Practitioner · Taylorsville, UT
NPI number
1043029457
Active
Practice location
6048 S Hazelhurst Dr
Taylorsville, UT 84129-5108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 9252507-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1043029457
Alexis Gundersen Petersen, FNP's National Provider Identifier is 1043029457, issued on Jan 1, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Taylorsville, UT. The record was last updated on Jan 11, 2025.