Individual
MS. JEANETTE CROSBIE DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-6698
Mailing address
4520 S BELLA VERDE CT, SALT LAKE CITY, UT 84107-8311
(435) 770-0144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5551683-4405
UT
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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