Individual
RACHEL IVIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
167 W PRINCETON DR, MIDVALE, UT 84047-7498
(385) 219-1090
Mailing address
167 W PRINCETON DR, MIDVALE, UT 84047-7498
(385) 219-1090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
108303974405
UT
363LF0000X
Family Nurse Practitioner
108303978900
UT
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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