Individual
DENISE GITLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1140 E 3900 S, SUITE 340, SALT LAKE CITY, UT 84124-1228
(801) 743-4730
(801) 743-4736
Mailing address
1140 E 3900 S, SUITE 340, SALT LAKE CITY, UT 84124-1228
(801) 743-4730
(801) 743-4736
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200041-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053593921
—
WY
01
—
P00474000
RR MEDICARE
UT
Enumeration date
10/13/2006
Last updated
05/15/2009
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