person
Chiara Wallace
Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah
NPI 1073243481

Chiara Wallace is a Student in an Organized Health Care Education/Training Program based in Salt Lake City, UT. Chiara Wallace practices in Salt Lake City, UT. The NPI Number for Chiara Wallace is 1073243481 and holds a License No. 11624749-4405 (Utah).

The current practice location address for Chiara Wallace is 961 E Crandall Ave, Salt Lake City, UT and can be reached out via phone at 612-770-9037.

Location: 961 E Crandall Ave, Salt Lake City, UT, 84106-2107
person
Provider Profile Details
NPI Number
1073243481
Provider Name
Chiara Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
961 E Crandall Ave, Salt Lake City, UT, 84106-2107
Phone Number
612-770-9037
Fax Number
Provider Enumeration Date
06/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
961 E Crandall Ave
City
State
Zip
84106-2107
Phone Number
612-770-9037
Fax Number
person
Provider Business Mailing Address Details
Address
961 E Crandall Ave
City
State
Zip
84106-2107
Phone Number
612-770-9037
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
11624749-4405 (Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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