| Whitney Petterborg, RDN | |
|
517 W 100 N Ste 110, Providence, UT 84332-9826 | |
| (435) 755-6075 | |
| Not Available |
| Full Name | Whitney Petterborg |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 7 Years |
| Location | 517 W 100 N Ste 110, Providence, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003580002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86118135 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| Provider Name | Ihc Health Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Whitney Petterborg, RDN 172 Meadow Cir, Logan, UT 84321-5095 Ph: () - | Whitney Petterborg, RDN 517 W 100 N Ste 110, Providence, UT 84332-9826 Ph: (435) 755-6075 |
Mrs. Lauren Marie Stowers Rasmussen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 220 N Spring Creek Pkwy Unit 19, Providence, UT 84332 Phone: 435-755-3300 | |
Jennifer Cloward, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 445 N 100 E, Providence, UT 84332 Phone: 801-680-4678 | |
Jeannine Anne Groll, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 517 W 100 N Ste 110, Providence, UT 84332 Phone: 435-755-6061 Fax: 435-994-8362 | |
Mrs. Maeci Hicken Armstrong, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 190 S Highway 165, Providence, UT 84332 Phone: 435-755-3300 |