| NPI | 1063658284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANMARIE PETERSEN Staff Nurse 801-582-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: UT 2085793102) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2009-03-24 |