Individual
LAUREN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1784 UINTA WAY UNIT E2, PARK CITY, UT 84098-7685
(435) 604-0160
Mailing address
1506 S 900 E, SALT LAKE CITY, UT 84105-2306
(801) 592-6838
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10071389-4405
UT
Other
Enumeration date
08/06/2021
Last updated
11/14/2022
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