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Chase Cansler

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

NPI number1407430366
StatusActive
Last updated in NPPESMay 7, 2021

Details

NPI
1407430366
Entity type
Individual (NPI-1)
Name
Chase Cansler
Sex
Male
Sole proprietor
Yes
Enumeration date
May 7, 2021
Certification date
May 7, 2021
Last updated
May 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner10200904-3102UTYes

Practice location

8th Ave And C St
Salt Lake City, UT 84143-0001

Phone 801-408-3340

Mailing address

88 E North Towne Ln
North Salt Lake, UT 84054-2507

Phone 317-903-7450

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