Individual provider · Type 1 NPI
Martha Mogene Bodily, RN
Psychiatric/Mental Health Registered Nurse · Provo, UT
NPI number
1679716385
Active
Practice location
750 N Freedom Blvd
Provo, UT 84601-1677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 6992742-3101 (UT) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1679716385
Martha Mogene Bodily, RN's National Provider Identifier is 1679716385, issued on Apr 10, 2009. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Provo, UT. The record was last updated on Sep 27, 2022.