Individual
PAIGE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1325 W SOUTH JORDAN PKWY STE 103, SOUTH JORDAN, UT 84095-9060
(801) 232-6556
Mailing address
1325 W SOUTH JORDAN PKWY STE 103, SOUTH JORDAN, UT 84095-9060
(801) 232-6556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7543507-1206
UT
363A00000X
Physician Assistant
7570
AZ
Other
Enumeration date
09/25/2019
Last updated
09/17/2024
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