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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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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