Individual
GRETCHEN LEATHERS ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 479-4105
(801) 584-2540
Mailing address
14185 N 3100 W, COLLINSTON, UT 84306-9749
(435) 279-6755
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
292960-4405
UT
Other
Enumeration date
10/12/2007
Last updated
05/29/2012
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