| NPI | 1396499414 |
|---|---|
| Doing Business As | WASATCH FUNCTIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CATHERINE KELLY PIERCE Owner/Nurse Practitioner 801-332-9034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |