Individual
EMILY VAN KOMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5169 S COTTONWOOD ST STE 610, MURRAY, UT 84107-6771
(801) 507-3731
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
9050505-4405
UT
363LG0600X
Gerontology Nurse Practitioner
Primary
9050505-4405
UT
Other
Enumeration date
04/23/2024
Last updated
10/23/2024
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