| NPI | 1942478540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNA HARTLE Owner 801-274-1447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 201619-4405) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |