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Individual

GAYLE SCANLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3051 W MAPLE LOOP DR STE 210, LEHI, UT 84043-4602
(801) 872-5516
Mailing address
9511 S HEATHER BRAE CIR, SOUTH JORDAN, UT 84095-2348
(440) 731-0480

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13559190-3102
UT
163W00000X
Registered Nurse
RN.418428
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0032362
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13559190-4405
UT

Other

Enumeration date
06/27/2022
Last updated
12/17/2023
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