Petersen, Devin Faye

Petersen, Devin Faye is an sole proprietor health care provider with primary practice located at 2995 E Middleton Way , Slc UT 84124-3055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Petersen, Devin Faye can be contacted via phone (801) 597-6419.

Contact Information

Primary practice address
2995 E Middleton Way Slc UT 84124-3055
Phone: (801) 597-6419
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X IN PROCESS Utah

Profile Details

NPI number 1154878692
LBN Legal business name Petersen, Devin Faye
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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