| NPI | 1245793249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMER DAWN ANDERSON Ap RN 801-676-9452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology Addiction Psychiatry |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-05-28 |