Peterson, Carly Lynne
Peterson, Carly Lynne is an sole proprietor health care provider with primary practice located at 1033 W 450 S , Spanish Fork UT 84660-5612. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Peterson, Carly Lynne can be contacted via phone (801) 471-9201.Contact Information
Primary practice address
1033 W 450 S
Spanish Fork UT 84660-5612
Phone: (801) 471-9201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 369185-4405 | Utah |
Profile Details
| NPI number | 1023727468 |
|---|---|
| LBN Legal business name | Peterson, Carly Lynne |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2022 |
| Last updated | Nov 15th, 2022 - about 4 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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