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Family Nurse Practitioner

NPI: 1609538057IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

10846140-3102(UT)

Nurse Practitioner

Nurse Practitioner

Code: 363L00000X

10846140-4405(UT)

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

10846140-8900(UT)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2021

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Contact & Hours

Address: 720 S RIVER RD STE D1100
SAINT GEORGE, UT 84790
Phone: (435) 251-5980

Locations (2)

Practice Location

720 S RIVER RD STE D1100, SAINT GEORGE, UT

Practice Location

3702 S STATE ST STE 107, SOUTH SALT LAKE, UT

Quick Facts

NPI: 1609538057
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 3
Locations: 2
Years in Practice: 5

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