Individual
MRS. DIANE EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11491 CRANBERRY HILL CT, DRAPER, UT 84020-8592
(801) 576-4288
Mailing address
11491 CRANBERRY HILL CT, DRAPER, UT 84020-8592
(801) 576-4288
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
7301162-3102
UT
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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