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Holly Smith

Registered Nurse in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1053804237
StatusActive
Last updated in NPPESJun 12, 2018

Details

NPI
1053804237
Entity type
Individual (NPI-1)
Name
Holly Smith
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2018
Last updated
Jun 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse7529936-3102UTYes

Practice location

1020 S Main Street
Salt Lake City, UT 84101

Phone 801-884-6504

Mailing address

4460 S Highland Dr
Salt Lake City, UT 84124

Phone 888-949-4864

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