Individual
NATHAN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 S 500 E, SALT LAKE CITY, UT 84102-2030
(801) 236-7710
Mailing address
252 S 500 E, SALT LAKE CITY, UT 84102-2030
(801) 236-7710
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
341412-3102
UT
Other
Enumeration date
11/30/2013
Last updated
11/30/2013
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