Individual
DR. CHANTELLE LENA ELMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1000 E 100 N, PAYSON, UT 84651-1600
(801) 465-7000
Mailing address
969 S 640 E, PAYSON, UT 84651-1628
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
6092068-4405
UT
Other
Enumeration date
05/17/2019
Last updated
07/01/2019
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