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Individual

EMMA FONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3802 S 700 E, SALT LAKE CITY, UT 84106-1182
(801) 264-6000
Mailing address
971 W TIFFANY DALE WAY, BLUFFDALE, UT 84065-1836
(801) 960-0620

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
118761824405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
118761824405
UT

Other

Enumeration date
10/07/2024
Last updated
10/23/2024
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