Individual provider · Type 1 NPI

Elizabeth Maria Durham, NURSE PRACTITIONER

Family Nurse Practitioner · Salt Lake City, UT

NPI number 1104580356 Active

Practice location

324 E 10th Ave Ste 100
Salt Lake City, UT 84103-2870

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 25 Rollingwood Ln, Sandy, UT 84092-4803 · (802) 302-9171

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X7081449-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1104580356

Elizabeth Maria Durham, NURSE PRACTITIONER's National Provider Identifier is 1104580356, issued on Oct 25, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 15, 2022.