Individual
SUELLY CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 N 500 W, NEWBORN ICU, PROVO, UT 84604-3380
(801) 357-7707
(801) 360-9061
Mailing address
1034 N 500 W, NEWBORN ICU, PROVO, UT 84604-3380
(801) 357-7707
(801) 360-9061
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
5256952-4405
UT
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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