NPI | 1275350464 |
---|---|
Entity Type | Organization |
Authorized Contact | AUSTIN ATKINSON President, CEO 801-318-8930 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
363LA2200X Nurse Practitioner, Adult Health | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2024-09-20 |
Last Update Date | 2024-10-29 |