Individual
STEFANIE K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN PMHNP-BC FNP-C
Contact information
Practice address
74 S MAIN ST, GUNNISON, UT 84634-7706
(801) 753-8038
Mailing address
5976 W KIDD CABIN CIR, HERRIMAN, UT 84096-7465
(801) 560-1853
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5631885-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5631885-4405
UT
Other
Enumeration date
06/28/2018
Last updated
10/01/2024
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