| NPI | 1255191672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY HALE-BYINGTON Authorized Official 801-796-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-04-22 |