Individual
ROXANNE LEWALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11616 S STATE ST STE 1501, DRAPER, UT 84020-7125
(801) 903-7479
Mailing address
11616 S STATE ST STE 1501, DRAPER, UT 84020-7125
(801) 903-7479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
8409727-3102
UT
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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