Individual
DIANA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6822 E. 1000 S., FT DUCHESNE, UT 84026
(435) 725-6894
Mailing address
PO BOX 160, FORT DUCHESNE, UT 84026-0160
(435) 725-6894
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
8640320-3102
UT
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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