SearchUtah261QR0405X

Andrew Nelson

NPI 1912617473 · on the registry since 2022 · sole proprietor

Practice

Address
607 E 200 S
Salt Lake City, UT 84102
Phone
(801) 430-0954
Organisation at this address
Odyssey House Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
64

Registry record

Primary taxonomy
261QR0405X
261QR0405X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-11-24

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