Individual
BIREN DULAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
563 EAST ALMA MATER AVE, SALT LAKE CITY, UT 84106
(801) 833-3610
Mailing address
563 EAST ALMA MATER AVE, SALT LAKE CITY, UT 84106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9641683-3102
UT
363L00000X
Nurse Practitioner
9641683-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
9641683-4405
UT
Other
Enumeration date
06/24/2022
Last updated
03/04/2024
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