Individual
MRS. GEORGIA TALULA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5770 S 1500 W, TAYLORSVILLE, UT 84123-5216
(801) 313-7770
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 313-7770
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6583723-4405
UT
Other
Enumeration date
04/06/2011
Last updated
05/04/2022
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