Individual
THERESA R STAUFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2940 S 2520 E, SLC, UT 84109-2521
(801) 671-8116
Mailing address
2940 S 2520 E, SLC, UT 84109-2521
(801) 671-8116
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
113043-3102
UT
227800000X
Certified Respiratory Therapist
113043-5701
UT
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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