IndividualActive
Chrisitne Peterson, NNP
NPI 1588095376 · Critical Care Neonatal Nurse Practitioner · Provo, UT
Provider details
- NPI number
- 1588095376
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP
- Sex
- Female
- Sole proprietor
- No
- License
- 199990-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1034 W 500 N
Provo, UT 84601-2537
Phone: (801) 357-7707
Approximate (ZIP-level) locationGet directions
Mailing address
1034 N 500 W
Provo, UT 84604-3337
Registry dates
- Enumerated
- 2013-12-05
- Last updated
- 2019-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.