Individual
MS. ELOISE AGNES MAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
324 8TH AVE, LDS HOSPITAL, SALT LAKE CITY, UT 84103
(801) 408-3617
Mailing address
3134 METROPOLITAN WAY, SALT LAKE CITY, UT 84109-2240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
199012-4405
UT
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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