BLAINE A WINTERS

SALT LAKE CITY, UT
NPI1982794574
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  276371-4405)
Enumeration Date2006-10-13
Last Update Date2007-07-08
Business Address
BLAINE A WINTERS APRN
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-7738
Mailing Address
BLAINE A WINTERS APRN
PO BOX 58049
SALT LAKE CITY, UT 84158-0049
Phone number: 801-213-3800