Organization
SALT FLATS WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE SUZANNE LOVELESS (NP/OWNER)
(435) 830-2028
Entity
Organization
Contact information
Practice address
356 W 1880 N, TOOELE, UT 84074-9110
(435) 830-2028
Mailing address
356 W 1880 N, TOOELE, UT 84074-9110
(435) 830-2028
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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