Individual
MRS. AMANDA SUE AL-KHUDAIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RNC, APRN
Contact information
Practice address
1906 W 3600 S, SALT LAKE CITY, UT 84119-4715
(801) 973-9675
Mailing address
6900 S 800 E, MIDVALE, UT 84047-1431
(801) 569-9363
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
372242-4405
UT
Other
Enumeration date
05/01/2007
Last updated
10/16/2021
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