Individual
CIJA LUEL HAUVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
35 SKYLINE DR STE 103, BRIGHAM CITY, UT 84302-6773
(801) 255-5131
Mailing address
2400 S COBBLE TER # 308, MENDON, UT 84325-9756
(208) 484-4453
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12369693-4405
UT
363L00000X
Nurse Practitioner
202204361NP-PP
OR
363L00000X
Nurse Practitioner
66272
ID
363LG0600X
Gerontology Nurse Practitioner
66272
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
12369693-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
66272
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12369693-4405
STATE OF UTAH COMMERCE LICENSING
UT
01
—
202204361NP-PP
OREGON STATE BOARD OF NURSING
OR
01
—
66272
IDAHO BOARD OF NURSING
ID
Enumeration date
02/08/2021
Last updated
04/19/2023
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