Peterson, Traci Lynn

Peterson, Traci Lynn is an sole proprietor health care provider with primary practice located at 3225 W Gordon Ave #1, Layton UT 84041-6508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Peterson, Traci Lynn can be contacted via phone (801) 773-7232.

Contact Information

Primary practice address
3225 W Gordon Ave #1 Layton UT 84041-6508
Phone: (801) 773-7232
Fax: (801) 927-4218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5696047-4405 Utah

Profile Details

NPI number 1285965293
LBN Legal business name Peterson, Traci Lynn
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2010
Last updated Jul 7th, 2011 - about 13 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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