person
Andrea Graham Southerland, NP
Family Nurse Practitioner in Riverton, Utah
NPI 1932353380

Andrea Graham Southerland is a Family Nurse Practitioner based in Riverton, UT and is specialized in Family. Andrea Graham Southerland practices in Riverton, UT and has the professional credentials of NP. The NPI Number for Andrea Graham Southerland is 1932353380 and holds a License No. 4552609-4405 (Utah).

The current practice location address for Andrea Graham Southerland is 1420 W 12600 S Ste 102, Riverton, UT and can be reached out via phone at 801-254-4600 and via fax at 801-254-9670. You can also correspond with Andrea Graham Southerland through the mailing address at 1420 W 12600 S STE 102, RIVERTON, UT - 84065-7080 (mailing address contact number: 801-254-4600).

Location: 1420 W 12600 S Ste 102, Riverton, UT, 84065-7080
person
Provider Profile Details
NPI Number
1932353380
Provider Name
Andrea Graham Southerland
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1420 W 12600 S Ste 102, Riverton, UT, 84065-7080
Phone Number
801-254-4600
Fax Number
801-254-9670
Provider Enumeration Date
11/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932353380 01 UT NPI
institution
Provider Business Practice Location Address Details
Address
1420 W 12600 S Ste 102
City
State
Zip
84065-7080
Phone Number
801-254-4600
Fax Number
801-254-9670
person
Provider Business Mailing Address Details
Address
1420 W 12600 S Ste 102
City
State
Zip
84065-7080
Phone Number
801-254-4600
Fax Number
801-254-9670
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4552609-4405 (Utah)
Definition
Definition to come...
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