MRS. CHARLI DANIELLE PETERS


Address: 9636 S Skye Park Rd, South Jordan, UT 84009-1506
Phone: 4356506274

MRS. CHARLI DANIELLE PETERS (NPI# 1518414911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518414911
Entity Type Individual
Full Name MRS. CHARLI DANIELLE PETERS
Credential A.P.R. N
Practice Address 9636 S Skye Park Rd
South Jordan
UT 84009-1506
Practice Telephone 4356506274
Mailing Telephone 4356506274
Enumeration Date 2016-09-02
Last Update Date 2016-09-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
7003608-4405 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9636 S SKYE PARK RD
City SOUTH JORDAN
State UT
Zip Code 84009-1506

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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Competitor

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City SOUTH JORDAN
Zip Code 84009

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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