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

Paul E Petersen

Individual provider Registered Nurse · NPI 1619674769

Paul E Petersen is a Registered Nurse in South Salt Lake, Utah. Licensed in Utah. Registered with an NPI since 2023.

Licensed in
UT
In the registry since
2023

Practice location Address checks out

447 W Bearcat Dr
South Salt Lake, UT 84115-2519
Phone: (801) 355-2846
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 295118-3102 (UT)

Record details

NPI number1619674769
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 9, 2023
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing address447 W Bearcat Dr, South Salt Lake, UT 84115-2519

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