person
Samuel Harry Van Rensburg, PMHNP-BC
Gerontology Nurse Practitioner in Taylorsville, Utah
NPI 1063067346

Samuel Harry Van Rensburg is a Gerontology Nurse Practitioner based in Salt Lake City, UT and is specialized in Gerontology. Samuel Harry Van Rensburg practices in Taylorsville, UT and has the professional credentials of PMHNP-BC. The NPI Number for Samuel Harry Van Rensburg is 1063067346 and holds a License No. APRN02110 (Utah).

The current practice location address for Samuel Harry Van Rensburg is 5770 S 1500 W, Taylorsville, UT and can be reached out via phone at 203-343-9490.

Location: 5770 S 1500 W, Taylorsville, UT, 84123-5216
person
Provider Profile Details
NPI Number
1063067346
Provider Name
Samuel Harry Van Rensburg
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
5770 S 1500 W, Taylorsville, UT, 84123-5216
Phone Number
203-343-9490
Fax Number
Provider Enumeration Date
08/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5770 S 1500 W
City
State
Zip
84123-5216
Phone Number
203-343-9490
Fax Number
person
Provider Business Mailing Address Details
Address
5770 S 1500 W
City
State
Zip
84123-5216
Phone Number
203-343-9490
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
11839389-4409 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
11839389-4405 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
APRN02110 (Rhode Island)
Definition
Definition to come...
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