Individual
GITANJALI SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
3920 S 1100 E, STE 250, SALT LAKE CITY, UT 84124-1213
(801) 308-8400
(801) 349-2849
Mailing address
3668 S GILROY RD, SALT LAKE CITY, UT 84109-3825
(801) 673-5156
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5660172-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497164180
—
UT
Enumeration date
08/06/2014
Last updated
03/10/2016
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