Individual
AMY BETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5121 S COTTONWOOD ST BLDG 4, MURRAY, UT 84107-5701
(801) 507-4000
Mailing address
5121 S COTTONWOOD ST BLDG 4, MURRAY, UT 84107-5701
(801) 507-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6557583-4405
UT
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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