Individual
LORAN A ARCHULETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4403 HARRISON BLVD, STE 1815, OGDEN, UT 84403-3271
(801) 387-6520
(801) 387-6525
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
338899-4405
UT
Other
Enumeration date
01/17/2007
Last updated
09/09/2019
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