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Individual

SEAN ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
5373 S GREEN ST STE 400, MURRAY, UT 84123-4740
(833) 442-2670
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60403160
WA
163WP0808X
Psychiatric/Mental Health Registered Nurse
5359524-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5359524-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60399107
WA

Other

Enumeration date
09/17/2012
Last updated
11/26/2024
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