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Mr. Ryan Dennis Church, FNP-C
Family Nurse Practitioner in Salt Lake City, Utah
NPI 1912909714

Ryan Dennis Church is a Family Nurse Practitioner based in Atlanta, UT and is specialized in Family. Ryan Dennis Church practices in Salt Lake City, UT and has the professional credentials of FNP-C. The NPI Number for Ryan Dennis Church is 1912909714 and holds a License No. 278935-4405 (Utah).

The current practice location address for Ryan Dennis Church is 1220 E 3900 S Ste 1F, Salt Lake City, UT and can be reached out via phone at 801-262-5711 and via fax at 801-262-5741.

Location: 1220 E 3900 S Ste 1F, Salt Lake City, UT, 30374-1648
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Provider Profile Details
NPI Number
1912909714
Provider Name
Ryan Dennis Church
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1220 E 3900 S Ste 1F, Salt Lake City, UT, 30374-1648
Phone Number
801-262-5711
Fax Number
801-262-5741
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
27893544001001 01 UT BCBS
P99858 01 UT UPIN
institution
Provider Business Practice Location Address Details
Address
1220 E 3900 S Ste 1F
City
State
Zip
84124-1327
Phone Number
801-262-5711
Fax Number
801-262-5741
person
Provider Business Mailing Address Details
Address
1220 E 3900 S Ste 1F
City
State
Zip
84124-1327
Phone Number
801-262-5711
Fax Number
801-262-5741
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
278935-4405 (Utah)
Definition
Definition to come...
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