Individual
ELAINE LOSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
1165 E 300 N, PROVO, UT 84606-3539
(801) 377-1213
(801) 375-2080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
216793-3102
UT
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
216793-3102
UT
Other
Enumeration date
09/09/2014
Last updated
04/02/2024
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