Individual
DANIEL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8184 S HIGHLAND DR STE C6B, SANDY, UT 84093-6496
(801) 696-1575
Mailing address
8184 S HIGHLAND DR STE C6B, SANDY, UT 84093-6496
(801) 664-9295
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9854079-4405
UT
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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