Peterson, Madeliene Alexandra

Peterson, Madeliene Alexandra is an individual health care provider with primary practice located at 170 N 1100 E , American Fork UT 84003-2961. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Peterson, Madeliene Alexandra can be contacted via phone (801) 855-3267.

Contact Information

Primary practice address
170 N 1100 E American Fork UT 84003-2961
Phone: (801) 855-3267
Fax: (801) 855-3251
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 12058297-3102 Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 12058297-4406 Utah

Profile Details

NPI number 1003698507
LBN Legal business name Peterson, Madeliene Alexandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2023
Last updated Dec 26th, 2023 - 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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