Individual
MRS. YANINA ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
8199294-4405
UT
363LG0600X
Gerontology Nurse Practitioner
8199294-4405
UT
Other
Enumeration date
10/07/2010
Last updated
01/30/2013
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