Individual
MS. REBECCA LUCILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N. PSYCHIATRIC
Contact information
Practice address
5965 S 900 E, SUITE 240, SALT LAKE CITY, UT 84121-1720
(801) 263-7225
(201) 263-7279
Mailing address
337 N MAIN ST, SALT LAKE CITY, UT 84103-1633
(801) 633-5458
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
3423224405
UT
Other
Enumeration date
12/30/2005
Last updated
07/08/2007
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