Individual
DR. JUDY TATTON GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4100
(801) 662-4166
Mailing address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4100
(801) 662-4166
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
49368804405
UT
Other
Enumeration date
02/07/2008
Last updated
07/30/2014
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