Individual
RENA HOLVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 C ST, SALT LAKE CITY, UT 84143-1005
(801) 408-1100
Mailing address
401 S 400 E, BOUNTIFUL, UT 84010-4933
(801) 408-1100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2022784405
UT
Other
Enumeration date
07/15/2006
Last updated
01/23/2017
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