Individual
GWENDA S MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
522 EAST 100 SOUTH, SALT LAKE CITY, UT 84102
(801) 485-5505
(801) 467-3296
Mailing address
522 EAST 100 SOUTH, SALT LAKE CITY, UT 84102
(801) 485-5505
(801) 467-3296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN 206440-4405
UT
Other
Enumeration date
07/05/2006
Last updated
03/16/2020
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