Individual
ANNMARIE HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 N MEDICAL DR, 2200, SALT LAKE CITY, UT 84113-1103
(801) 588-3300
Mailing address
PO BOX 581075, SALT LAKE CITY, UT 84158-1075
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
215109-4405
UT
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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