| NPI | 1346107364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ELLEN WARNOCK Provider/Owner 801-842-6947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-01-09 |