Thelma Lorraine Poulson, RN
Registered Nurse, Psych/Mental Health in Provo, UT. Individual provider (NPI-1).
NPI number1679674279
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679674279
- Entity type
- Individual (NPI-1)
- Name
- Thelma Lorraine Poulson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 225167-3102 | UT | Yes |
Practice location
750 N Freedom BlvdProvo, UT 84601-1677
Phone 801-373-4760
Mailing address
750 N Freedom BlvdProvo, UT 84601-1677
Phone 801-373-4760
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