Individual provider · Type 1 NPI
Geeta Maharaj, PNP
Pediatric Nurse Practitioner · Salt Lake City, UT
NPI number
1104916717
Active
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
PO Box 581100
Salt Lake City, UT 84158-1100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 373152-4405 (UT) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1104916717
Geeta Maharaj, PNP's National Provider Identifier is 1104916717, issued on Oct 13, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.