Individual
MS. ANNE E BOULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8TH AVE C STREET, SALT LAKE CITY, UT 84143-0001
(801) 408-3090
Mailing address
2129 E ALTA CANYON DR, SANDY, UT 84093-1634
(801) 803-8005
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
357961-4405
UT
Other
Enumeration date
09/24/2007
Last updated
11/07/2016
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