Individual
JULIE ALISE FLANARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-1085
(801) 582-1565
Mailing address
PO BOX 23, MAGNA, UT 84044-0023
(801) 906-0438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6776664-3102
UT
225700000X
Massage Therapist
6776664-4701
UT
363LF0000X
Family Nurse Practitioner
Primary
6776664-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6776664-3102
RN LICENSE
UT
01
—
6776664-4405
APRN
UT
01
—
6776664-4701
MASSAGE THERAPIST
UT
Enumeration date
11/15/2022
Last updated
05/31/2023
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