Organization · Type 2 NPI
Molina Healthcare of Utah Inc
Family Nurse Practitioner · Midvale, UT
NPI number
1619486396
Active
Practice location
7050 S Union Park Ave Ste 200
Midvale, UT 84047-4171
Fax (562) 499-6191
Mailing address
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Midvale
About NPI 1619486396
Molina Healthcare of Utah Inc's National Provider Identifier is 1619486396, issued on Sep 25, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Midvale, UT. The record was last updated on Nov 8, 2024.