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Individual

RUSLANA PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.N.P., N.N.P.

Contact information

Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4100
Mailing address
10164 S 1190 W, SOUTH JORDAN, UT 84095-8881
(801) 616-0082

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
6424966-4405
UT

Other

Enumeration date
10/01/2013
Last updated
10/01/2013
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