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Individual

ELISA AMADOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12428 S MOSSBERG DR, HERRIMAN, UT 84096-7784
(801) 493-5945
Mailing address
12428 S MOSSBERG DR, HERRIMAN, UT 84096-7784
(801) 493-5945

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9806346-4405
UT
364SW0102X
Women's Health Clinical Nurse Specialist
9806346-3102
UT

Other

Enumeration date
08/19/2020
Last updated
01/28/2025
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