Individual
MR. JEFFREY WARREN HJELSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
17800 CAMP WILLIAMS RD, RIVERTON, UT 84065-4905
(801) 878-5857
(801) 878-5560
Mailing address
1505 LEWIS BLVD, GRAND FORKS, ND 58203-1636
(701) 740-4896
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R23536
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R23536
NURSING CERTIFICATION NU
ND
Enumeration date
04/25/2007
Last updated
07/08/2007
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