Individual
WENDY S. DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1160 E 3900 S, SUITE 3500, SALT LAKE CITY, UT 84124-1202
(801) 743-4750
(801) 743-4765
Mailing address
1160 E 3900 S, SUITE 3500, SALT LAKE CITY, UT 84124-1202
(801) 743-4750
(801) 743-4765
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
193897-4405
UT
Other
Enumeration date
02/05/2009
Last updated
10/20/2021
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