Individual
MRS. GABRIELLE SLEATER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2905 S MCCLELLAND ST, SALT LAKE CITY, UT 84106-2125
(801) 869-0487
Mailing address
2905 S MCCLELLAND ST, SALT LAKE CITY, UT 84106-2125
(801) 869-0487
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9132221-4405
UT
Other
Enumeration date
11/01/2020
Last updated
11/01/2020
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