Individual
ELISE MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-4548
(801) 582-1565
Mailing address
PO BOX 912042, ST GEORGE, UT 84791-2042
(435) 215-0230
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
12096000-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
12096000-4405
UT
Other
Enumeration date
04/26/2023
Last updated
06/25/2025
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