Individual
JULIE FITZWILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
525 E 100 S STE 5000, SALT LAKE CITY, UT 84102-1992
(801) 585-1212
Mailing address
438 N CENTER ST APT 407, SALT LAKE CITY, UT 84103-1790
(801) 557-4658
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
9514350-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9514350-4405
UT
Other
Enumeration date
05/27/2015
Last updated
10/27/2021
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