Individual
ALEX PAUL HASLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, FNP
Contact information
Practice address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9552971
FL
363L00000X
Nurse Practitioner
Primary
13523469-4405
UT
363L00000X
Nurse Practitioner
9552971
FL
Other
Enumeration date
06/22/2022
Last updated
04/23/2024
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