Individual
MIRIAM BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, SALT LAKE CITY, UT 84132-0006
(801) 587-9103
Mailing address
30 N 1900 E, SALT LAKE CITY, SALT LAKE CITY, UT 84132-0006
(801) 587-9103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200049-4405
UT
363LA2200X
Adult Health Nurse Practitioner
200049-4405
UT
363LG0600X
Gerontology Nurse Practitioner
200049-4405
UT
Other
Enumeration date
10/13/2006
Last updated
10/21/2021
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