Individual
GINA WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
10 SOUTH 2000 EAST, SALT LAKE CITY, UT 84112
(801) 585-9346
Mailing address
6108 SHARON CIR, OGDEN, UT 84403-5008
(801) 391-9574
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
217093-4403
UT
Other
Enumeration date
01/20/2017
Last updated
05/05/2022
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