Organization
MICHELLE BENSON, APRN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE MICHELLE BENSON APRN (OWNER/PROVIDER)
(801) 893-2221
Entity
Organization
Contact information
Practice address
1108 W SOUTH JORDAN PKWY, SUITE B, SOUTH JORDAN, UT 84095-5504
(801) 893-2221
(801) 983-6290
Mailing address
6255 S MARGRAY DR, TAYLORSVILLE, UT 84129-6321
(801) 893-2221
(801) 983-6290
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
348263-4405
UT
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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