| NPI | 1215811864 | 
|---|---|
| Doing Business As | NERVANA MEDICAL | 
| Entity Type | Organization | 
| Authorized Contact | CASSANDRA DEBENHAM Owner 801-335-5243  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Enumeration Date | 2025-08-05 | 
| Last Update Date | 2025-08-05 |