Individual
MRS. LAURA ANN HENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDCES
Contact information
Practice address
1140 E 3900 S STE 390, SALT LAKE CITY, UT 84124-1256
(801) 743-4700
Mailing address
1140 E 3900 S STE 390, SALT LAKE CITY, UT 84124-1256
(801) 743-4700
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
21700638
UT
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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