Individual
USHA GAUTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
243 E HAMMERMILL LN, SANDY, UT 84070-2918
(385) 234-8696
Mailing address
243 E HAMMERMILL LN, SANDY, UT 84070-2918
(385) 234-8696
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11176038-4405
UT
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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