Individual
MANDI SARITA VLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
168 N 1950 W STE 201, SALT LAKE CITY, UT 84116-3007
(801) 213-2537
Mailing address
168 N 1950 W STE 201, SALT LAKE CITY, UT 84116-3007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
8752008-8900
UT
363LG0600X
Gerontology Nurse Practitioner
Primary
8752008-4405
UT
Other
Enumeration date
04/11/2024
Last updated
05/17/2024
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