Individual
MARY ANN ABRAHAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
971 W 1200 S, WOODS CROSS, UT 84087-2007
(435) 849-1469
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(435) 849-1469
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4737515-8900
UT
Other
Enumeration date
09/28/2015
Last updated
10/19/2015
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