Individual
MRS. GAIL LYNN PRUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2745
Mailing address
2549 DOLPHIN WAY, SALT LAKE CITY, UT 84121-5609
(801) 453-0654
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
202594-4405
UT
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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