Petrusevich, Viktoryia

Petrusevich, Viktoryia is an individual health care provider with primary practice located at 370 E 9Th Ave Ste 101 , Salt Lake City UT 84103-3186. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Petrusevich, Viktoryia can be contacted via phone (801) 507-7070.

Contact Information

Primary practice address
370 E 9Th Ave Ste 101 Salt Lake City UT 84103-3186
Phone: (801) 507-7070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 14219578-4402 Utah
Other Service Providers / Midwife 176B00000X 14219578-4402 Utah

Profile Details

NPI number 1821584012
LBN Legal business name Petrusevich, Viktoryia
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2018
Last updated Dec 11th, 2025 - about last year

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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