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

NICOLE SHEREE PETERSON, PA-C

Active

NICOLE SHEREE PETERSON, PA-C is a Physician Assistant healthcare provider located in BOUNTIFUL, Utah. NPI 1144694068 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BOUNTIFUL, UT

Registration Details

NPI Number
1144694068
Provider Type
Individual
Gender
Female
NPI Issued
Nov 16, 2015 (10.72471239843 yrs)
Last Updated
Mar 4, 2025
License
9495419-1206 (UT)

Practice Information

Address
1551 RENAISSANCE TOWNE DR STE 500
BOUNTIFUL, UT, 840107678
Browse UT providers · Browse ZIP 84010
Phone
8012957200
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BOUNTIFUL, UT

Name Credential NPI
NANCY A. WEBER PA-C 1194774554
MICHAEL RICHARD GAFFNEY PA-C 1811947229
MS. CYNTHIA ZUMBRENNEN PA 1255362323
TODD DALE LYTHGOE PA-C 1477571065
CHRISTINE M PACKARD PA-C 1427159904
DOUGLAS ALLAN GREENE PA-C 1467528588
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.