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Individual

ELIZA BREMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
324 E 10TH AVE STE 100, SALT LAKE CITY, UT 84103-2870
(801) 408-5883
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 397-6300

Taxonomy

Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
11105203-3102
UT
363L00000X
Nurse Practitioner
Primary
11105203-4405
UT
363LF0000X
Family Nurse Practitioner
11105203-4405
UT

Other

Enumeration date
02/21/2023
Last updated
08/13/2026
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