Petersen, Sheralee Dahle
Petersen, Sheralee Dahle is an individual health care provider with primary practice located at 5169 S Cottonwood St Ste 520 , Murray UT 84107-6756. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Petersen, Sheralee Dahle can be contacted via phone (801) 507-3500.Contact Information
Primary practice address
5169 S Cottonwood St Ste 520
Murray UT 84107-6756
Phone: (801) 507-3500
Fax: (801) 507-3505
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5190165-1206 | Utah |
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 5190165-4901 | Utah |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5190165-1206 | Utah |
Profile Details
NPI number | 1114110921 |
---|---|
LBN Legal business name | Petersen, Sheralee Dahle |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 24th, 2007 |
Last updated | Jun 23rd, 2016 - about 9 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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