Individual
MS. BONNIE MINTZ ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
650 KOMAS DR, SUITE #200, SALT LAKE CITY, UT 84108-1229
(801) 585-0394
(801) 581-8979
Mailing address
650 KOMAS DR, SUITE #200, SALT LAKE CITY, UT 84108-1229
(801) 585-0394
(801) 581-8979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205069-4405
UT
Other
Enumeration date
06/23/2006
Last updated
10/16/2021
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