Organization · Type 2 NPI
Eden Family Care and Medical Aesthetics
Primary Care Nurse Practitioner · Eden, UT
NPI number
1467977884
Active
Practice location
2612 N Highway 162
Eden, UT 84310-9745
Fax (801) 217-9230
Mailing address
PO Box 687
Eden, UT 84310-0687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 9758122-4405 (UT) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1467977884
Eden Family Care and Medical Aesthetics's National Provider Identifier is 1467977884, issued on Aug 7, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Eden, UT. The record was last updated on Aug 7, 2017.