Individual provider · Type 1 NPI

Viktoryia Petrusevich, CNM

Advanced Practice Midwife · Salt Lake City, UT

NPI number 1821584012 Active

Practice location

370 E 9th Ave Ste 101
Salt Lake City, UT 84103-3186

Call (801) 507-7070 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 4201 Dean Lakes Blvd Ste 120, Shakopee, MN 55379-2850 · (952) 496-6700

Specialties and licenses

TaxonomyCodeLicense
Midwife 176B00000XNone listed
Advanced Practice Midwife Primary 367A00000X14219578-4402 (UT)
Midwife 176B00000X14219578-4402 (UT)

Advanced Practice Midwife: Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives p…

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About NPI 1821584012

Viktoryia Petrusevich, CNM's National Provider Identifier is 1821584012, issued on Jul 10, 2018. The primary taxonomy on file is Advanced Practice Midwife (367A00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 11, 2025.