Individual
CHRISTINA MARUYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3409 W 12600 S STE 230, RIVERTON, UT 84065-7270
(801) 252-6116
Mailing address
3409 W 12600 S STE 230, RIVERTON, UT 84065-7270
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11150656-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2022
Last updated
06/23/2023
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