Anna Lind Petersen in Salt Lake City - Medical
Anna Lind Petersen - NPI 1750577813
Anna Lind Petersen is a Medical in Salt Lake City, Utah. Anna Lind Petersen practices all healthcare services and medical treatments related to Medical. The NPI Number for Anna Lind Petersen is 1750577813. The last update date is 2021-11-11.
Anna Lind Petersen's current location address is 2295 Foothill Dr, Salt Lake City, Utah. You can contact this provider via phone number 8014863021 and fax number 8014856339. The mailing address for Anna Lind Petersen is 2295 Foothill Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anna Lind Petersen |
|---|---|
| Address | 2295 Foothill Dr, Salt Lake City, Utah |
| Phone Number | 8014863021 |
| Fax Number | 8014856339 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1750577813 |
|---|---|
| Provider Enumeration Date | 2007-09-21 |
| Last Updated Date | 2021-11-11 |
Provider Mailing Address Detail
| Address | 2295 Foothill Dr |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841094000 |
| Phone Number | 8014863021 |
| Fax Number | 8014856339 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 4985588-1206 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4985588-1206 | UT | UT STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Anna Lind Petersen by the Centers for Medicare & Medicaid Services (CMS)?
The Anna Lind Petersen has been assigned the NPI (National Provider Identifier) 1750577813. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Anna Lind Petersen's facilities are geographically located?
The facilities of Anna Lind Petersen are physically situated at the following location: 2295 Foothill Dr, Salt Lake City, UT, 841094000.
What is the Anna Lind Petersen's specialty and taxonomy code?
The Anna Lind Petersen's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When was the Anna Lind Petersen's 1750577813 issued?
The Anna Lind Petersen's 1750577813 was issued on 2007-09-21.
When was the Anna Lind Petersen's information last updated?
The Anna Lind Petersen's information was last updated on 2021-11-11.