| NPI | 1376959023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLEEN ANGELL Ap RN 801-867-3263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 208123-4405) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |