Individual provider · Type 1 NPI

Anna Lind Petersen, PA

Medical Physician Assistant · Salt Lake City, UT

NPI number 1750577813 Active

Practice location

6360 S 3000 E, Ste 100
Salt Lake City, UT 84121-6923

Call (801) 365-1032 Map

Fax (801) 365-1036

Mailing address

2295 Foothill Dr
Salt Lake City, UT 84109-4000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4985588-1206 (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1750577813

Anna Lind Petersen, PA's National Provider Identifier is 1750577813, issued on Sep 21, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 11, 2021.