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

Holly Marie Petersen

Individual provider Community Health Worker · NPI 1083184402

Holly Marie Petersen is a Community Health Worker in Salt Lake City, Utah. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1020 S Main St # 200
Salt Lake City, UT 84101-3176
Phone: (801) 539-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1083184402
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 28, 2018
Last updated in NPPESNovember 28, 2018

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