Individual
MS. SUSAN GALE TREVITHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
VA SALT LAKE CITY HEALTHCARE SYSTEM MC # 118, 500 FOOTHILL BOULEVARD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-1298
Mailing address
8831 ALPEN WAY, SALT LAKE CITY, UT 84121-6105
(801) 943-5261
(801) 584-1298
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
189015-3102
UT
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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