NPI | 1033674916 |
---|---|
Entity Type | Organization |
Authorized Contact | DEE STEVENS Owner/Operator 435-764-1775 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2019-02-05 |
Last Update Date | 2020-06-18 |