| NPI | 1609225051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY HEMSLEY Practice Manager 801-226-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: UT 9048767-1204) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 191091-4405) |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-12-04 |