Individual
MS. DESERET DAY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
209 E GORDON AVE STE 1, LAYTON, UT 84041-2357
(801) 941-9280
Mailing address
209 E GORDON AVE STE 1&2, LAYTON, UT 84041-2341
(385) 786-6100
(385) 786-6102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
377163-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
377163-4405
UTAH DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING
UT
Enumeration date
05/15/2021
Last updated
11/08/2022
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