Individual
SANDRA GUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7508
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9654516-4405
UT
363LN0000X
Neonatal Nurse Practitioner
9654516-4405
UT
Other
Enumeration date
04/14/2025
Last updated
12/01/2025
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