NICHOLAS BLAINE EDMAN

MURRAY, UT
NPI1588498943
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: UT  9406183-4405)
Enumeration Date2024-08-28
Last Update Date2024-10-11
Business Address
NICHOLAS BLAINE EDMAN AGACNP
5169 S COTTONWOOD ST STE 510
MURRAY, UT 84107-6767
Phone number: 801-507-3513
Mailing Address
NICHOLAS BLAINE EDMAN AGACNP
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: