| NPI | 1467977884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH GARDNER Nurse Practitioner/Owner 801-217-9230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 9758122-4405) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |