Individual
LINDA RENNE HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1488 W BRIGEPORT WAY, WEST JORDAN, UT 84084
(801) 561-5629
Mailing address
1488 BRIDGEPORT WAY, WEST JORDAN, UT 84084-2539
(801) 561-5629
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
199788-4405
UT
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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