# CHARLEEN ANGELL APRN, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376959023
- **Authorized official:** MS. CHARLEEN ANGELL APRN (APRN)
- **Authorized official phone:** (801) 867-3263

## Contact information

- **Practice address:** 145 S 400 E, SALT LAKE CITY, UT 84111-2104
- **Practice address phone:** (801) 839-4023
- **Mailing address:** 145 S 400 E, SALT LAKE CITY, UT 84111-2104
- **Mailing address phone:** (801) 839-4023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 208123-4405 | UT | Yes |

## Other

- **Enumeration date:** 07/02/2014
- **Last updated:** 07/02/2014