Individual
NANCE LEE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, MS, APRN
Contact information
Practice address
3191 VALLEY ST, STE #210, SLC, UT 84109-4274
(801) 487-2889
(801) 487-0859
Mailing address
2700 KENTUCKY AVE, HOLLADAY, UT 84117-5512
(801) 487-2889
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4910921-4405
UT
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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