Individual
ANTHONY STEWART NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
7495 S STATE ST, MIDVALE, UT 84047-2013
(801) 213-9400
Mailing address
PO BOX 45180, SALT LAKE CITY, UT 84145-0180
(801) 587-6303
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
7594774-4405
UT
Other
Enumeration date
08/08/2016
Last updated
11/08/2021
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