Individual
TRACI B OLSEN-LUJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN/FNP-BC
Contact information
Practice address
4376 S 700 E STE 200, SALT LAKE CITY, UT 84107-3077
(385) 272-4292
(866) 855-3582
Mailing address
691 E WYANDOTTE AVE, SANDY, UT 84070-3564
(801) 448-4654
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
373543-4405
UT
363LP2300X
Primary Care Nurse Practitioner
373543-4405
UT
Other
Enumeration date
12/06/2018
Last updated
10/21/2021
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