Healthcare Provider Details

I. General information

NPI: 1508782152
Provider Name (Legal Business Name): EUDEMONIA SPACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 E 2100 S # 201
SALT LAKE CITY UT
84106-4862
US

IV. Provider business mailing address

1370 E ROOSEVELT AVE
SALT LAKE CITY UT
84105-2614
US

V. Phone/Fax

Practice location:
  • Phone: 801-888-5378
  • Fax:
Mailing address:
  • Phone: 801-888-5378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZABETH S HANNA
Title or Position: OWNER
Credential: APRN
Phone: 801-888-5378