Organization
ANDREA LIFE INVESTMENT ENTERPRISES
Active
Other names
ALIE Medical Practice
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA LOVING APRN, FNP-C (NURSE PRACTITIONER)
(801) 792-0218
Entity
Organization
Contact information
Practice address
4400 S 700 E STE 201, MILLCREEK, UT 84107-3053
(801) 895-8903
(888) 312-5374
Mailing address
4400 S 700 E STE 201, MILLCREEK, UT 84107-3053
(801) 895-8903
(888) 312-5374
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
77715794405
UT
Other
Enumeration date
12/07/2016
Last updated
09/30/2019
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