Sheralee Dahle Petersen in Salt Lake City - Physician Assistant
Sheralee Dahle Petersen - NPI 1114110921
Sheralee Dahle Petersen is a Physician Assistant in Salt Lake City, Utah. Sheralee Dahle Petersen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sheralee Dahle Petersen is 1114110921. The last update date is 2016-06-23.
Sheralee Dahle Petersen's current location address is Po Box 27128, Salt Lake City, Utah. You can contact this provider via phone number 8015073500 and fax number 8015073505. The mailing address for Sheralee Dahle Petersen is Po Box 27128, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sheralee Dahle Petersen |
|---|---|
| Address | Po Box 27128, Salt Lake City, Utah |
| Phone Number | 8015073500 |
| Fax Number | 8015073505 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1114110921 |
|---|---|
| Provider Enumeration Date | 2007-08-24 |
| Last Updated Date | 2016-06-23 |
Provider Mailing Address Detail
| Address | Po Box 27128 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841270128 |
| Phone Number | 8015073500 |
| Fax Number | 8015073505 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5190165-1206 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sheralee Dahle Petersen by the Centers for Medicare & Medicaid Services?
The Sheralee Dahle Petersen has been issued the NPI (National Provider Identifier) 1114110921 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Sheralee Dahle Petersen?
The Sheralee Dahle Petersen is situated at Po Box 27128, in the city of Salt Lake City, state of UT, with the zip code 841270128.
What is Sheralee Dahle Petersen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sheralee Dahle Petersen is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Sheralee Dahle Petersen receive its 1114110921 assignment from the Centers for Medicare & Medicaid Services?
The Sheralee Dahle Petersen was assigned its 1114110921 by the Centers for Medicare & Medicaid Services on 2007-08-24.
When was the information related to Sheralee Dahle Petersen most recently updated or refreshed?
The details pertaining to the Sheralee Dahle Petersen, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-06-23.