NPI 1750176806

Leif Corbin Peterson

Practitioner Nurse's Aide St George, UT

Practice location

Address: 37 N Stone Mountain Dr, St George, UT 84770-8010
Phone: (435) 229-8659

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence UT012780601432 (UT)

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Registry record

NPI: 1750176806
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2025
Record last updated: 12 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.