Individual
SUZAN VIRGINIA HOLDAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
55 S 500 E, HEBER CITY, UT 84032-1918
(435) 654-2700
Mailing address
55 S 500 E, HEBER CITY, UT 84032-1918
(435) 654-2700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
196179-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14336
—
UT
Enumeration date
09/14/2007
Last updated
09/14/2007
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