Individual
PIPER LYNN DEREUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
249 S 700 E APT 57, SALT LAKE CITY, UT 84102-2145
(801) 907-0317
Mailing address
249 S 700 E APT 57, SALT LAKE CITY, UT 84102-2145
(801) 907-0317
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
50704753102
UT
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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