Heal Slc LLC
Nurse Practitioner, Psych/Mental Health in South Jordan, UT. Organization (NPI-2).
NPI number1699415604
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1699415604
- Entity type
- Organization (NPI-2)
- Legal business name
- Heal Slc LLC
- Organization subpart
- No
- Enumeration date
- Mar 29, 2022
- Certification date
- Oct 24, 2022
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
881 W Baxter Dr Ste 100South Jordan, UT 84095-8506
Phone 208-261-2411
Mailing address
Po Box 1173Post Falls, ID 83877-1173
Phone 208-261-2411 · Fax 866-291-4766
Authorized official
Elizabeth Lynn
Founder
2082612411
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