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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE MARIE PETERSEN

Active

STEPHANIE MARIE PETERSEN is a Pharmacist Clinician (PhC) healthcare provider located in KAYSVILLE, Utah. NPI 1013557487 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · KAYSVILLE, UT

Registration Details

NPI Number
1013557487
Provider Type
Individual
Gender
Female
NPI Issued
Jan 13, 2020 (6.6160081761044 yrs)
Last Updated
Jan 13, 2020
License
344963-1701 (UT)

Practice Information

Address
1370 W 200 N
KAYSVILLE, UT, 840379711
Browse UT providers · Browse ZIP 84037
Phone
3858885320
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.