MARIE ANN PETERSON


Address: 530 S Wakara Way, Salt Lake City, UT 84108-1213
Phone: 8015812121

MARIE ANN PETERSON (NPI# 1811480239) 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) 1811480239
Entity Type Individual
Full Name MARIE ANN PETERSON
Practice Address 530 S Wakara Way
Salt Lake City
UT 84108-1213
Practice Telephone 8015812121
Mailing Telephone 8015812121
Enumeration Date 2018-06-11
Last Update Date 2019-12-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers MARIE PETERSON

NPI Name Taxonomy Address Enumeration
1407405152 Marie Peterson Physician Assistant 4105 Briargate Pkwy Ste 300, Colorado Springs, CO 80920-3487 2019-09-05
1790905669 Marie Elizabeth Peterson Dermatology 2925 Chicago Ave, Minneapolis, MN 55407-1321 2007-04-26

Office Location

Street Address 530 S WAKARA WAY
City SALT LAKE CITY
State UT
Zip Code 84108-1213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881913143 Kevin Croft Dentist 530 S Wakara Way, Salt Lake City, UT 84108-1213 2010-05-26
1760002737 Zachary Thomas Osborne Student in an Organized Health Care Education/Training Program 530 S Wakara Way, Salt Lake City, UT 84108-1213 2020-04-20
1144858234 Rebecca Arianne Schneider Student in an Organized Health Care Education/Training Program 530 S Wakara Way, Salt Lake City, UT 84108-1213 2020-04-01
1083242341 Aaron Brooksbank Student in an Organized Health Care Education/Training Program 530 S Wakara Way, Salt Lake City, UT 84108-1213 2020-03-31
1164050860 Paige Holbrook Student in an Organized Health Care Education/Training Program 530 S Wakara Way, Salt Lake City, UT 84108-1213 2020-03-29
1164050977 Lura Frye Student in an Organized Health Care Education/Training Program 530 S Wakara Way, Salt Lake City, UT 84108-1213 2020-03-28
1164059408 Jacob Roy Rounds Student in an Organized Health Care Education/Training Program 530 S Wakara Way, Salt Lake City, UT 84108-1213 2020-03-26
1023645454 Brittney Pauline Ciszek Student in an Organized Health Care Education/Training Program 530 S Wakara Way, Salt Lake City, UT 84108-1213 2020-03-25
1952938490 Erin Down Student in an Organized Health Care Education/Training Program 530 S Wakara Way, Salt Lake City, UT 84108-1213 2020-03-25
1720541709 Brandon Bowen Student in an Organized Health Care Education/Training Program 530 S Wakara Way, Salt Lake City, UT 84108-1213 2019-04-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548753056 Maxine Ht Erickson Assistant Behavior Analyst 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 2018-06-08
1841704061 Robyn Carver Occupational Therapist 421 Wakara Wat, Salt Lake City, UT 84108 2017-11-27
1518478742 Lcr Dental Sugar House Dentist 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 2017-10-16
1447708912 Aubrianne Squire Evans Occupational Therapist 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 2016-09-14
1629524426 Ryan Weisenbeck Specialist/Technologist 580 S Guardsman Way, Salt Lake City, UT 84108 2016-08-31
1164885547 Michael Fazzone Student in an Organized Health Care Education/Training Program 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 2016-04-01
1669833489 Bryon Claflin Registered Nurse 650 S Komas Ste 200, Salt Lake City, UT 84108 2016-03-08
1801283833 Autism Assement Treatment Program Adult Psychologist 650 S Komas, Suite 200, Salt Lake City, UT 84108 2015-04-16
1578993275 Matthew and David Dental Pllc Dentist 1355 Foothill Drive, Salt Lake City, UT 84108 2013-11-15
1841631520 Deepika Garg Internal Medicine 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 2013-07-10
Find all providers in zip 84108

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982205829 Brittany Nicole Beverly Student in an Organized Health Care Education/Training Program 236 N Sun Arbor Ter Apt 2111, Salt Lake City, UT 84116-4537 2020-11-06
1508484023 Courtney Hook Student in an Organized Health Care Education/Training Program 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 2020-07-10
1669090502 Kelly Maree Gutpell Student in an Organized Health Care Education/Training Program 81 N Mario Capecchi Dr Ste 1a.011, Salt Lake City, UT 84113-1125 2020-07-07
1134744014 Scarlet Reyes Student in an Organized Health Care Education/Training Program 25 S 1100 E Apt 14, Salt Lake City, UT 84102-1514 2020-06-16
1215553151 Andrew Winn Bringhurst Student in an Organized Health Care Education/Training Program 1737 E Imperial Park Sq, Salt Lake City, UT 84106-5104 2020-06-16
1134744287 Jillian G Barker Student in an Organized Health Care Education/Training Program 1345 S 400 E, Salt Lake City, UT 84115-1548 2020-06-15
1114542255 Gustavo Carrillo Student in an Organized Health Care Education/Training Program 1652 W 800 S, Salt Lake City, UT 84104-3112 2020-06-15
1982229035 Cristhian V. Toruno Student in an Organized Health Care Education/Training Program 448 N 1100 W, Salt Lake City, UT 84116-2649 2020-06-15
1144845108 Huong T Pham Student in an Organized Health Care Education/Training Program 319 E Beldon Pl, Salt Lake City, UT 84111-3516 2020-06-15
1790300754 Krista Huffaker Student in an Organized Health Care Education/Training Program 1212 E 500 S # 2, Salt Lake City, UT 84102-3223 2020-06-15
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84108

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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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