Individual
JAN NEWREN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2544
Mailing address
2917 COBBLEMOOR LN, SANDY, UT 84093-2039
(801) 582-1565
(801) 584-2544
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202081-4408
UT
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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