Individual provider · Type 1 NPI

Matthew Weston Pommerville, FNP

Family Nurse Practitioner · Park City, UT

NPI number 1003425356 Active

Practice location

1600 Snow Creek Dr
Park City, UT 84060-7372

Fax (435) 655-8979

Mailing address

PO Box 198560
Atlanta, GA 30384-8560

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X8038057-4405 (UT)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1003425356

Matthew Weston Pommerville, FNP's National Provider Identifier is 1003425356, issued on Jul 23, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Park City, UT. The record was last updated on Feb 18, 2021.