Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 9284606-4405 | UT |
NPI | 1033884192 |
---|---|
Provider Name | Chia-Hsuan Lin |
First Address | Murray, UT 84107-7534 |
Second Address | Farmington, UT 84025-3657 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2021 |
Last Update Date | 11/08/2021 |