| Michelle Benson, Aprn | |
|
1108 W South Jordan Pkwy Suite B South Jordan UT 84095-5504 | |
| (801) 893-2221 | |
| (801) 983-6290 |
| Full Name | Michelle Benson, Aprn |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1108 W South Jordan Pkwy, South Jordan, Utah |
| Authorized Official Name and Position | Carrie Michelle Benson (OWNER/PROVIDER) |
| Authorized Official Contact | 8018932221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Benson, Aprn 6255 S Margray Dr Taylorsville UT 84129-6321 Ph: (801) 893-2221 | Michelle Benson, Aprn 1108 W South Jordan Pkwy Suite B South Jordan UT 84095-5504 Ph: (801) 893-2221 |
| NPI Number | 1316497514 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316497514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 348263-4405 (Utah) | Primary |
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