Individual
MS. ANNETTE SMITH HARMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
100 NORTH MEDICAL DR., SLC, UT 84113
(801) 662-1200
Mailing address
PO BOX 581289, SLC, UT 84158-1289
(801) 587-7450
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202463-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202463-4405
STATE LICENSE
UT
Enumeration date
04/17/2008
Last updated
04/17/2008
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