Individual
ELISA VELDA WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 268-7111
(801) 268-7430
Mailing address
PO BOX 742353, ATLANTA, GA 30374-2353
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9420325-4405
UT
Other
Enumeration date
04/26/2021
Last updated
09/25/2024
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