Individual
TESLA ANNE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3875 STADIUM WAY DEPT 3903, OGDEN, UT 84408-3903
(801) 703-7772
Mailing address
4603 W 2400 N, CORINNE, UT 84307-9717
(801) 703-7772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9648023-3102
UT
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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