Kierstin Petersen (NPI# 1295106581, PAC ID# 1254641293) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295106581 |
| PAC ID by PECOS | 1254641293 |
| Professional Enrollment ID | I20151104000556 |
| Full Name | Kierstin Petersen |
| Organization Legal Name | CENTRAL UTAH CLINIC P C |
| Address |
568 S Main St Monroe UT 84754-4400 |
| Phone Number | 4355278866 |
| Gender | F |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7517868508 |
| Number of Group Practice Members | 333 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 568 S Main St, Monroe, UT 84754-4400 | 4355278866 | CENTRAL UTAH CLINIC P C |
| Organization Legal Name | CENTRAL UTAH CLINIC P C |
| Physicians | 327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameran Rachelle Wilson | Nurse Practitioner | Central Utah Clinic P C | 5896 S Ridgeline Dr, Suite B, South Ogden, UT 84405-4928 |
| Brandon Houtz Rawlings | Qualified Audiologist | Central Utah Clinic P C | 1175 E 50, Suite 211, American Fork, UT 84003-2845 |
| Vanessa May Dexter | Nurse Practitioner | Central Utah Clinic P C | 1152 E 200, American Fork, UT 84003-2004 |
| Arlene Johnston | Nurse Practitioner | Central Utah Clinic P C | 97 Professional Way, Suite 2, Payson, UT 84651-1680 |
| Drake Scott Mason | Nurse Practitioner | Central Utah Clinic P C | 568 S Main St, Monroe, UT 84754-4400 |
| Debra Ann Ledingham | Nurse Practitioner | Central Utah Clinic P C | 1886 W 800, Pleasant Grove, UT 84062-4097 |
| Evangeline K Lindorf | Nurse Practitioner | Central Utah Clinic P C | 159 N 400, Suite B 8, Orem, UT 84057-1909 |
| Nicholas Paul Wittwer | Physician Assistant | Central Utah Clinic P C | 1055 N 500, Provo, UT 84604-3305 |
| Ekaete Sunday Udodong | Nurse Practitioner | Central Utah Clinic P C | 4095 E Pony Express Pkwy, Suite 1, Eagle Mountain, UT 84005-5531 |
| Scott David Peterson | Family Medicine | Central Utah Clinic P C | 575 S State St, Orem, UT 84058-6303 |
| Street Address |
568 S MAIN ST |
| City | MONROE |
| State | UT |
| Zip | 84754-4400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Drake Scott Mason | Nurse Practitioner | Central Utah Clinic P C | 568 S Main St, Monroe, UT 84754-4400 |
| Jason D Okerlund | Nurse Practitioner | Central Utah Clinic P C | 568 S Main St, Monroe, UT 84754-4400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tony K Torgerson | Physical Therapy | South Central Therapies Inc | 52 S Main, Monroe, UT 84754-4122 |
| Daniel J Bruse | Physical Therapy | South Central Therapies Inc | 52 S Main, Monroe, UT 84754-4122 |
| Daniel Dastrup | Chiropractic | Monroe Mountain Chiropractic Pllc | 57 S Main St, Monroe, UT 84754-4613 |
| City | MONROE |
| Zip Code | 84754 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MONROE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kierstin Petersen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.