Individual
MRS. NOEMI PALLOS GAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2600
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(385) 282-2601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4938420-3102
UT
363L00000X
Nurse Practitioner
Primary
4938420-4405
UT
363LF0000X
Family Nurse Practitioner
4938420-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790309110
—
UT
Enumeration date
06/01/2020
Last updated
04/22/2022
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