Florence Fairbanks, APRN
Nurse Practitioner, Psych/Mental Health in Taylorsville, UT. Individual provider (NPI-1).
NPI number1154348993
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154348993
- Entity type
- Individual (NPI-1)
- Name
- Florence Fairbanks
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 2103544405 | UT | Yes |
Practice location
5770 S 1500 WTaylorsville, UT 84123-5216
Phone 801-265-3144
Mailing address
Po Box 27128Salt Lake City, UT 84127-0128
Phone 801-265-3144
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All 14 Psychiatric/Mental Health Nurse Practitioner providers in Taylorsville · All 3,083 providers in Taylorsville
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