| NPI | 1487016226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA COCCIMIGLIO Agpcnp 801-718-7280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 123071-4405) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2017-08-29 |