Individual
ELAINE GRACE ARTAJO IMPERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
500 FOOTHILL DR., SALT LAKE CITY, UT 84148
(801) 582-1565
Mailing address
500 FOOTHILL DR., SALT LAKE CITY, UT 84148
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
95071476
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10208
SALT LAKE CITY VAMC
—
Enumeration date
07/31/2020
Last updated
07/31/2020
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