Individual
TERESA LYNNE DEMILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-2500
Mailing address
PO BOX 27128, SLC, UT 84127-0128
(801) 251-2500
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
10329169-4405
UT
Other
Enumeration date
10/20/2023
Last updated
04/22/2024
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