SearchUtah367A00000X

Viktoryia Petrusevich, CNM

NPI 1821584012 · on the registry since 2018

Practice

Address
370 E 9th Ave Ste 101
Salt Lake City, UT 84103
Phone
(801) 507-7070
Organisation at this address
Nira Medical Inc
Alta Bella Plastic Surgery Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Additional practice sites

  • 4201 Dean Lakes Blvd Ste 120, Shakopee, MN

Registry record

Primary taxonomy
367A00000X
367A00000X
Also registered as
176B00000X
176B00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah