Individual
TRACI LEE ANDREASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2961 W MAPLE LOOP DR # 104, LEHI, UT 84043-5686
(801) 647-4479
Mailing address
2399 E CATALINA DR, COTTONWOOD HEIGHTS, UT 84121-3910
(801) 647-4479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
85279654405
UT
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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