Individual
HEATHER NICOLE LUNDGREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2020 S 1300 E, SALT LAKE CITY, UT 84105-3654
(801) 401-3515
Mailing address
4846 S DESERT DUSK RD, TAYLORSVILLE, UT 84129-1829
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
345116-3102
UT
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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