SUSAN K CHURCHILL

SALT LAKE CITY, UT
NPI1255351409
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  2147004405)
Enumeration Date2006-07-20
Last Update Date2008-03-18
Business Address
-- SUSAN K CHURCHILL APRN
400 C ST
SALT LAKE CITY, UT 84143-1005
Phone number: 801-408-3623
Mailing Address
-- SUSAN K CHURCHILL APRN
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-408-3623