Individual provider · Type 1 NPI

Michael Jacob Petersen

Community Health Worker · West Valley, UT

NPI number 1386352219 Active

Practice location

3280 W 3500 S Ste B
West Valley, UT 84119-2627

Call (801) 979-1351 Map

Mailing address

3739 W 5100 S
Taylorsville, UT 84129-3527

Specialties and licenses

Taxonomy	Code	License
Community Health Worker Primary	172V00000X	None listed

Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…

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About NPI 1386352219

Michael Jacob Petersen's National Provider Identifier is 1386352219, issued on Nov 9, 2022. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in West Valley, UT. The record was last updated on Sep 29, 2026.