Individual provider · Type 1 NPI
Kirstin Chantell Peterson
Psychiatric/Mental Health Nurse Practitioner · Provo, UT
NPI number
1972291714
Active
Practice location
750 N Freedom Blvd Ste 300
Provo, UT 84601-1690
Fax (801) 373-0639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 9813033-4405 (UT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1972291714
Kirstin Chantell Peterson's National Provider Identifier is 1972291714, issued on Apr 28, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Provo, UT. The record was last updated on Apr 28, 2023.