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Search › Utah › 363LF0000X

Amanda Henseler

NPI 1548842800 · on the registry since 2021 · sole proprietor

Practice

Address
4240 Harrison Blvd
Ogden, UT 84403
Phone
(801) 621-2610
Organisation at this address
Utah Cvs Pharmacy, L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Additional practice sites

  • 772 N Fairfield Rd, Layton, UT

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah