Individual
DARIENNE AUTUMN RAE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7199 N GOLDEN RIDGE DR, EAGLE MOUNTAIN, UT 84005-6287
(801) 380-9832
Mailing address
7199 N GOLDEN RIDGE DR, EAGLE MOUNTAIN, UT 84005-6287
(801) 380-9832
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5300380-4405
UT
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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