Individual
ANNALEE BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
552 RIDGE LN, ALPINE, UT 84004-2630
(801) 913-4501
Mailing address
552 RIDGE LN, ALPINE, UT 84004-2630
(801) 913-4501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5653069-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
5653069-8900
UT
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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