Organization · Type 2 NPI
Wasatch Mobile Medical
Primary Care Nurse Practitioner · Payson, UT
NPI number
1861156101
Active
Practice location
910 E 100 N Ste 175
Payson, UT 84651-1641
Fax (435) 268-3438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1861156101
Wasatch Mobile Medical's National Provider Identifier is 1861156101, issued on Oct 22, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Payson, UT. The record was last updated on Feb 22, 2023.