| NPI | 1023723079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL WARREN Owner 801-920-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2024-01-02 |