| NPI | 1114403474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE REESE Family Nurse Practitioner 435-229-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 373378-4405) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |