Individual
GRETCHEN LEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.N.P
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 585-2804
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7672353-4405
UT
363L00000X
Nurse Practitioner
Primary
7672353-8900
UT
Other
Enumeration date
09/23/2016
Last updated
10/16/2021
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