Individual
ELISE NEILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5965 S 900 E, MURRAY, UT 84121-1720
(888) 949-4864
Mailing address
1107 N 2220 W, CLINTON, UT 84015-8203
(801) 643-3543
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
501277-3101
UT
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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