Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis Gundersen Petersen, FNP

Individual provider Family Nurse Practitioner · NPI 1043029457

Alexis Gundersen Petersen, FNP is a Nurse Practitioner in Taylorsville, Utah. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

6048 S Hazelhurst Dr
Taylorsville, UT 84129-5108
Phone: (801) 560-9124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9252507-4405 (UT)

Record details

NPI number1043029457
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJanuary 1, 2025
Last updated in NPPESJanuary 11, 2025
Certification dateJanuary 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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