Individual
EMILEE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-5588
Mailing address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-5588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6209622-4405
UT
363LP0200X
Pediatric Nurse Practitioner
6209622-4405
UT
Other
Enumeration date
04/26/2017
Last updated
08/23/2023
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