Individual
AURELIA RENEE WANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, WHNP-BC
Contact information
Practice address
370 E 9TH AVE STE 205, SALT LAKE CITY, UT 84103-3184
(801) 408-6100
(801) 355-9968
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
5358904-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5358904-3102
DIVISION OF PROFESSIONAL LICENSING
UT
Enumeration date
08/17/2019
Last updated
05/02/2024
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