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Individual

ANNA TRACEY WINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132
(435) 619-4757
Mailing address
7898 S FARM HOUSE LN, MIDVALE, UT 84047-2847

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
8262260-4405
UT
363LG0600X
Gerontology Nurse Practitioner
Primary
8262260-4405
UT

Other

Enumeration date
07/19/2018
Last updated
11/09/2022
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