Individual
ELISHA DAWN KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
434 W ASCENSION WAY STE 225, MURRAY, UT 84123-2985
(801) 716-7008
Mailing address
434 W ASCENSION WAY STE 225, MURRAY, UT 84123-2985
(801) 716-7008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10957097-4405
UT
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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