Whitney Petterborg, RDN
Dietitian, Registered in Providence, UT. Individual provider (NPI-1).
NPI number1003580002
StatusActive
Last updated in NPPESAug 3, 2021
Details
- NPI
- 1003580002
- Entity type
- Individual (NPI-1)
- Name
- Whitney Petterborg
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 3, 2021
- Certification date
- Jul 28, 2021
- Last updated
- Aug 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86118135 | UT | Yes |
Practice location
517 W 100 N Ste 110Providence, UT 84332-9826
Phone 435-755-6075
Mailing address
172 Meadow CirLogan, UT 84321-5095
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