Individual
BETHANY APRIL FLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2747
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
325575-4405
UT
363LN0005X
Critical Care Neonatal Nurse Practitioner
325575-4405
UT
Other
Enumeration date
09/30/2013
Last updated
12/26/2025
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