Individual
CHIA-I LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
2079 S 1200 E APT S502, SALT LAKE CITY, UT 84105-3580
(812) 351-0599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13196921-3102
UT
363LA2100X
Acute Care Nurse Practitioner
Primary
2023129113
UT
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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