| NPI | 1194905174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WILLIAMS ANDERSON Owner 801-634-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 198045-4405) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2013-06-06 |