Organization · Type 2 NPI
Grantsville Health & Wellness Clinic PC
Family Nurse Practitioner · Grantsville, UT
NPI number
1154649077
Active
Practice location
225 W Apple St
Grantsville, UT 84029-9635
Fax (435) 843-9964
Mailing address
271 E Broadway St
Tooele, UT 84074-3116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 288698-4405 (UT) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1154649077
Grantsville Health & Wellness Clinic PC's National Provider Identifier is 1154649077, issued on May 17, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grantsville, UT. The record was last updated on May 17, 2010.