Individual
LEE ANN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5169 S COTTONWOOD ST, SUITE 320, MURRAY, UT 84107-6767
(801) 507-3380
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-3380
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9399193-4405
UT
363LF0000X
Family Nurse Practitioner
9399193-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200909880
—
IN
Enumeration date
07/24/2008
Last updated
12/11/2015
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