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
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 7081449-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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- Joshua Jorgensen, MSN, FNP-CFamily Nurse Practitioner Salt Lake City, UT NPI 1013657014
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.