TYSON SMITHERSEN

RIVERTON, UT
NPI1679233134
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  10808238-4405)
Enumeration Date2021-12-26
Last Update Date2024-10-06
Business Address
TYSON SMITHERSEN FNP
1763 W LUNFORD LN
RIVERTON, UT 84065-7451
Phone number: 208-680-8408
Mailing Address
TYSON SMITHERSEN FNP
1763 W LUNFORD LN
RIVERTON, UT 84065-7451
Phone number: 208-680-8408
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