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Individual

RUTH V EARLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.P.R.N.

Contact information

Practice address
4403 HARRISON BLVD, SUITE 4640, OGDEN, UT 84403-3271
(801) 387-4850
(801) 387-4855
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3481
(801) 475-3414

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5844434-4405
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00411801
RAILROAD MEDICARE
UT
Enumeration date
02/21/2006
Last updated
02/19/2019
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