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Individual

DR. SUMER DAWN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC DNP

Contact information

Practice address
45 W SEGO LILY DR STE 312, SANDY, UT 84070-3643
(801) 676-9452
Mailing address
45 W SEGO LILY DR STE 312, SANDY, UT 84070-3643
(801) 676-9452
(801) 206-9734

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
8172658-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
81726588900
UT

Other

Enumeration date
03/28/2012
Last updated
03/12/2021
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