Individual
CRYSTAL ANNE RUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
518 N HALE ST, GRANTSVILLE, UT 84029-9231
(435) 830-1758
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
10826853-4405
UT
Other
Enumeration date
02/03/2023
Last updated
05/02/2023
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