Individual
REBECCA VAILLANCOURT SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2000 S 900 E, SALT LAKE CITY, UT 84105-3208
(801) 464-7500
Mailing address
676 N 2750 W, WEST POINT, UT 84015-7839
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7995957-4405
UT
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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