Individual
CAMILLE DIANA GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11520 S REDWOOD RD, SOUTH JORDAN, UT 84095-7805
(385) 887-6000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5487196-4405
UT
363LF0000X
Family Nurse Practitioner
54871964405
UT
Other
Enumeration date
03/31/2022
Last updated
08/10/2022
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