Individual
ELIZABETH ANNE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4100
Mailing address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4100
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
8731982-4405
UT
363LN0005X
Critical Care Neonatal Nurse Practitioner
8731982-4405
UT
Other
Enumeration date
08/01/2019
Last updated
03/04/2024
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