Individual
LILLIAN FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
4525 S 2300 E STE 102, HOLLADAY, UT 84117-4682
(385) 313-0401
(385) 313-9762
Mailing address
4525 S 2300 E STE 102, HOLLADAY, UT 84117-4682
(385) 313-0401
(385) 313-9762
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9130549-4405
UT
Other
Enumeration date
05/04/2016
Last updated
11/24/2021
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