NPI | 1902648462 |
---|---|
Doing Business As | ANEW THERAPY UTAH |
Entity Type | Organization |
Authorized Contact | NATHAN SWENSEN President 801-792-4758 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 363AM0700X Physician Assistant Medical |
363L00000X Nurse Practitioner | |
Enumeration Date | 2024-06-06 |
Last Update Date | 2024-07-11 |