Individual provider · Type 1 NPI

Brian Bennett Koldyke, MSN, FNP-C

Family Nurse Practitioner · St. George, UT

NPI number 1609203363 Active

Practice location

577 S River Rd
St. George, UT 84790-2097

Fax (435) 688-6263

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5850890-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1609203363

Brian Bennett Koldyke, MSN, FNP-C's National Provider Identifier is 1609203363, issued on Sep 26, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. George, UT. The record was last updated on Oct 19, 2023.