Individual
ADRIENNE L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
212 S 1100 E, AMERICAN FORK, UT 84003-2829
(801) 763-0901
(801) 763-0903
Mailing address
212 S 1100 E, AMERICAN FORK, UT 84003-2829
(801) 763-0901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
122924061206
UT
Other
Enumeration date
07/16/2019
Last updated
04/25/2024
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