Individual
CONNI ELMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-2992
Mailing address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-2992
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4951873-3102
UT
363L00000X
Nurse Practitioner
Primary
4951873-4405
UT
Other
Enumeration date
09/26/2020
Last updated
12/03/2020
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