Unknown Individual – Psychiatric/Mental Health Registered Nurse, NPI 1720067408
Psychiatric/Mental Health Registered Nurse
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Provider Addresses for Unknown Individual
1525 WATERBURY DR
UNIT D
SALT LAKE CITY, UT 841211127
Phone: (801) 424-2499
Fax: (801) 566-4779
Type: Mailing
7434, State Street, Midvale, Salt Lake County, Utah, 84047, United States
MIDVALE, UT 840472014
Phone: (801) 566-4423
Fax: (801) 566-4779
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84121)
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