ELIZABETH MARIA DURHAM

SALT LAKE CITY, UT
NPI1104580356
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  7081449-4405)
Enumeration Date2021-10-25
Last Update Date2022-06-15
Business Address
ELIZABETH MARIA DURHAM Nurse Practitioner
324 E 10TH AVE STE 100
SALT LAKE CITY, UT 84103-2870
Phone number: 801-408-7500
Mailing Address
ELIZABETH MARIA DURHAM Nurse Practitioner
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-408-7500