| NPI | 1033629530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN SALMON Sole Member 801-644-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 6430244-8900) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2025-11-20 |