Individual
BETH ALLLISON COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4261
Mailing address
PO BOX 27128, SLC, UT 84127-0128
(801) 662-4261
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
9421857-4405
UT
Other
Enumeration date
12/20/2023
Last updated
07/03/2024
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