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Individual

MRS. DANELL HARTER GILMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5373 S GREEN ST STE 400, MURRAY, UT 84123-4740
(801) 442-2615
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13716517-4405
UT
363LF0000X
Family Nurse Practitioner
APRN000793
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13517759
CAQH
05
1609019777
NV
Enumeration date
04/20/2009
Last updated
05/20/2024
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