NPI 1013255066
Andrea Addley
Practice location
- Address
- 1174 E Graystone Way STE 1a, Salt Lake City, UT 84106-2671
- Phone
- (801) 664-2182
- Mailing address
- 715 Ranch Loop Rd, Preston, ID 83263-5116
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1013255066
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Jan 2013
- Record last updated
- 5 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.