| NPI | 1013212802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN NEWBY President 801-641-9261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 308579-4405) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |