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

TIA PETERSON, NP-C

Active

TIA PETERSON, NP-C is a Family Nurse Practitioner healthcare provider located in PROVIDENCE, Utah. NPI 1902277908 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · PROVIDENCE, UT

Registration Details

NPI Number
1902277908
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2015 (10.789579341674 yrs)
Last Updated
Mar 3, 2023
License
324961-4405 (UT)

Practice Information

Address
435 N GATEWAY DR STE 801
PROVIDENCE, UT, 843329004
Browse UT providers · Browse ZIP 84332
Phone
4357871023
Fax
4357871882
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in PROVIDENCE, UT

Name Credential NPI
MR. BEN P BOYER FNP 1477703338
TIFFANY SCHULTZ APRN 1194172635
MELISSA LIVINGSTON FNP-C 1649804022
WYLEE KYLE JENSEN APRN, FNP-C 1407542418
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.