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

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X288698-4405 (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.