NPI 1003698507

Madeliene Alexandra Peterson

Practitioner Certified Registered Nurse Anesthetist American Fork, UT

Practice location

Address: 170 N 1100 E, American Fork, UT 84003-2961
Phone: (801) 855-3300
Mailing address: 2221 Lakeside Blvd STE 600, Richardson, TX 75082-4416

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 12058297-4406 (UT)

Other Nurse Anesthetist, Certified Registered providers in Utah →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 12058297-3102 (UT)

Other Registered Nurse providers in Utah →

Registry record

NPI: 1003698507
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Oct 2023
Record last updated: 29 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.