Warren, Elisa Velda

Warren, Elisa Velda is an individual health care provider with primary practice located at 613 E Fort Union Blvd Ste 104 , Midvale UT 84047-5531. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Warren, Elisa Velda can be contacted via phone (801) 984-1717.

Contact Information

Primary practice address
613 E Fort Union Blvd Ste 104 Midvale UT 84047-5531
Phone: (801) 984-1717
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9420325-3102 Utah
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 9420325-3102 Utah
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9420325-4405 Utah

Profile Details

NPI number 1699357863
LBN Legal business name Warren, Elisa Velda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2021
Last updated Jul 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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