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Organization
ANDERSON WELLNESS GROUP LLC
Active
Organization
ANDERSON WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMER DAWN ANDERSON APRN (APRN)
(801) 676-9452
Entity
Organization
Contact information
Practice address
9533 S 700 E STE 203, SANDY, UT 84070-3456
(801) 792-1034
Mailing address
9533 S 700 E STE 203, SANDY, UT 84070-3456
(801) 792-1034
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
—
NULL
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992071559
—
UT
Enumeration date
04/08/2019
Last updated
05/28/2019
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