Individual
BLAIR CONRAD DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
11694207-4405
UT
Other
Enumeration date
11/24/2019
Last updated
08/12/2022
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