Individual
JANIS LORRAINE GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-2400
Mailing address
1568 HOLLYWOOD AVE, SALT LAKE CITY, UT 84105-3815
(949) 273-4317
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
51240894405
UT
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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