Individual
ANGELA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
656 E 11400 S STE N, DRAPER, UT 84020-9786
(801) 849-1604
Mailing address
611 S MAIN ST UNIT 701, SALT LAKE CITY, UT 84111-4116
(773) 701-3257
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13340981-4405
UT
363L00000X
Nurse Practitioner
Primary
13340981-8900
UT
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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