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 |