Individual
ELIZABETH SARAH HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 E 3900 S STE 100, SALT LAKE CITY, UT 84124-1550
(801) 268-3800
(801) 268-3997
Mailing address
1521 E 3900 S STE 100, SALT LAKE CITY, UT 84124-1550
(801) 268-4074
(801) 268-3997
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9136440-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9136440-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922342732
—
UT
Enumeration date
08/27/2019
Last updated
02/06/2025
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