George E Wahlen Va

NPI 1063658284 - Registered Nurse - 163WD0400X

NPI Details
NPI 1063658284
Enumeration Date 12/17/2008
Last Updated 03/24/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JANMARIE JANMARIE
Position STAFF NURSE
Phone (801) 582-1565
Fax (801) 584-2576
Practice Location
VA SLC HCS
500 FOOTHILL BLVD
SALT LAKE CITY UT, 84148-0001, US
Phone (801) 582-1565
Fax (801) 584-2576
Business Location
VA SLC HCS
500 FOOTHILL BLVD
SALT LAKE CITY UT, 84148-0001, US
Phone (801) 582-1565
Fax (801) 584-2576
Toxanomy
Taxonomy Code 163WD0400X
License State Utah
License Number 2085793102
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According to our database, George E Wahlen Va NPI is 1063658284, taxonomy code is 163WD0400X and license number is 2085793102, license state is located at Utah. George E Wahlen Va physically located at Va Slc Hcs, Salt Lake City UT, 84148-0001. NPI Number 1033115704 has the healthcare provider type.

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1063658284 NPI number is provided on an as is basis without warranty of any kind. 1063658284 is maintained by the National Plan & Provider Enumeration System. The contents of George E Wahlen Va are for informational purposes only.