Individual provider · Type 1 NPI

Nicole Sheree Peterson, PA-C

Physician Assistant · Bountiful, UT

NPI number 1144694068 Active

Practice location

1551 Renaissance Towne Dr Ste 500
Bountiful, UT 84010-7678

Call (801) 295-7200 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9495419-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1144694068

Nicole Sheree Peterson, PA-C's National Provider Identifier is 1144694068, issued on Nov 16, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bountiful, UT. The record was last updated on Mar 4, 2025.