AUDRIE CHRISTINE WISELL

ROOSEVELT, UT
NPI1518417054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  6657212-405)
Enumeration Date2016-10-07
Last Update Date2016-10-07
Business Address
-- AUDRIE CHRISTINE WISELL FNP
250 W 300 N
ROOSEVELT, UT 84066-2336
Phone number: 435-722-4691
Mailing Address
-- AUDRIE CHRISTINE WISELL FNP
PO BOX 794
ROOSEVELT, UT 84066-0794
Phone number: 435-733-0752
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