Organization
SUNRISE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLOIS W. BAILEY DNP, APRN, PMHNP-BC (OWNER)
(801) 598-9812
Entity
Organization
Contact information
Practice address
13077 S PIONEER PARK DR, HERRIMAN, UT 84096-3631
(801) 598-9812
Mailing address
12760 S PARK AVE UNIT 216, RIVERTON, UT 84065-3409
(801) 598-9812
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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