Individual
AMANDA JOYCE DAILEY-HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5550
(801) 587-7000
Mailing address
6462 W MAPLE VALLEY CIR, WEST JORDAN, UT 84081-6273
(801) 598-5789
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9031879-4405
UT
363LG0600X
Gerontology Nurse Practitioner
9031879-4405
UT
Other
Enumeration date
07/16/2021
Last updated
12/17/2021
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