Individual
SKYLER GERDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 543-9041
Mailing address
905 E FENCE POST RD, FRUIT HEIGHTS, UT 84037-6785
(801) 543-9400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
266108
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
13760498-4405
UT
Other
Enumeration date
01/12/2024
Last updated
12/10/2024
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