Individual
JARICKA BLUNDELL LAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12760 S PARK AVE UNIT 216, RIVERTON, UT 84065-3409
(801) 598-9812
(888) 256-5101
Mailing address
12760 S PARK AVE UNIT 216, RIVERTON, UT 84065-3409
(801) 598-9812
(888) 256-5101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7643431-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7643431-4405
UT
Other
Enumeration date
05/10/2024
Last updated
06/03/2025
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