Individual
ELAINE E ARCHULETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5405 S 500 E STE 204, OGDEN, UT 84405-7420
(801) 479-0184
(801) 479-5642
Mailing address
PO BOX 741729, ATLANTA, GA 30374-1729
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
222610-4405
UT
363L00000X
Nurse Practitioner
Primary
2226104405
UT
Other
Enumeration date
11/17/2006
Last updated
01/26/2022
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