Individual
MIN LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
544 S 400 E, ST GEORGE, UT 84770-3705
(801) 408-3043
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-3043
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
6776156-4405
UT
Other
Enumeration date
10/14/2012
Last updated
04/22/2016
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