Individual
VAN GIP-DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
120 W 1300 S, SALT LAKE CITY, UT 84115-5230
(801) 486-4877
Mailing address
73 W 525 N, KAYSVILLE, UT 84037-1168
(801) 897-2236
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9432807-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9432807-4405
DOPL
UT
Enumeration date
07/10/2019
Last updated
12/10/2021
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