Individual
GRACE BLISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
(801) 213-7700
Mailing address
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8300598-4405
UT
Other
Enumeration date
12/16/2018
Last updated
10/28/2021
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