Individual provider · Type 1 NPI

Judy De la Vega

Family Nurse Practitioner · Spanish Fork, UT

NPI number 1376242644 Active

Practice location

972 N 600 E
Spanish Fork, UT 84660-1306

Fax (385) 203-0392

Mailing address

1055 N 500 W, Att Credentialing
Provo, UT 84604

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse 163WE0003X947995 (TX)
Family Nurse Practitioner Primary 363LF0000X13470553-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1376242644

Judy De la Vega's National Provider Identifier is 1376242644, issued on Feb 27, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Spanish Fork, UT. The record was last updated on Mar 4, 2024.