Individual
AMANDA LOUDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
222 S MAIN ST, SALT LAKE CITY, UT 84101-2174
(801) 844-1801
(801) 884-1807
Mailing address
222 S MAIN ST, SALT LAKE CITY, UT 84101-2174
(801) 844-1801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13564971-4405
UT
Other
Enumeration date
07/11/2020
Last updated
06/30/2024
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