Individual provider · Type 1 NPI

Bernard M. Mutie, APRN

Gerontology Nurse Practitioner · Draper, UT

NPI number 1396255360 Active

Practice location

12433 S Fort St
Draper, UT 84020-9363

Call (801) 576-1086 Map

Fax (801) 576-9796

Mailing address

5505 S 900 E
Holladay, UT 84117-7209

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X79878114405 (UT)

Gerontology Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1396255360

Bernard M. Mutie, APRN's National Provider Identifier is 1396255360, issued on Oct 4, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Draper, UT. The record was last updated on Jun 11, 2020.