Kirstin Chantell Peterson, - Nurse Practitioner in Provo, UT

Kirstin Chantell Peterson, is a Nurse Practitioner - Psychiatric/mental Health based in Provo, Utah. Kirstin Chantell Peterson is licensed to practice in Utah (license number 9813033-4405) and her current practice location is 750 N Freedom Blvd Ste 300, Provo, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 373-4760.

NPI number for Kirstin Chantell Peterson is 1972291714 and her current mailing address is 750 N Freedom Blvd Ste 300, Provo, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972291714.

Contact Information

Kirstin Chantell Peterson,
750 N Freedom Blvd Ste 300,
Provo, UT 84601-1690
(801) 373-4760
(801) 373-0639

Map and Direction




Provider's Profile

Full NameKirstin Chantell Peterson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location750 N Freedom Blvd Ste 300, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972291714
  • Provider Enumeration Date: 04/28/2023
  • Last Update Date: 04/28/2023

Medical Identifiers

Medical identifiers for Kirstin Chantell Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972291714NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 9813033-4405 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kirstin Chantell Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kirstin Chantell Peterson,
750 N Freedom Blvd Ste 300,
Provo, UT 84601-1690

Ph: (801) 373-4760
Kirstin Chantell Peterson,
750 N Freedom Blvd Ste 300,
Provo, UT 84601-1690

Ph: (801) 373-4760

Reviews and Comments


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