Emmaline Elisa Haderlie
Emmaline Elisa Haderlie is a Phlebology Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2024.
- Licensed in
- UT
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
30 N 1900 ESalt Lake City, UT 84132-0002
Phone: (801) 581-7498
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Phlebology Physician | Taxonomy 202K00000X · Licence D2L2E6L2 (UT) |
Record details
| NPI number | 1467298216 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 2, 2024 |
| Last updated in NPPES | July 2, 2024 |
| Certification date | July 2, 2024 |