Individual
DR. GRACE A FORSYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, APRN
Contact information
Practice address
2046 MURRAY HOLLADAY RD, 103, SALT LAKE CITY, UT 84117-5125
(801) 273-7769
(801) 273-4073
Mailing address
4271 NEPTUNE DR, SALT LAKE CITY, UT 84124-3362
(801) 273-7769
(801) 273-4073
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2189134405
UT
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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