Individual
ELIZABETH MARIA DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
324 E 10TH AVE STE 100, SALT LAKE CITY, UT 84103-2870
(801) 408-7500
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-7500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7081449-4405
UT
Other
Enumeration date
10/25/2021
Last updated
06/15/2022
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