Grantsville Health & Wellness Clinic PC

NPI #1154649077 in Grantsville, Utah

Provider Information

NPI Number
1154649077
Entity Type
Organization
Organization Name
Grantsville Health & Wellness Clinic PC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
May 17, 2010
Last Updated
May 17, 2010

Practice Location

Address
225 W APPLE ST
State
Utah
ZIP Code
84029-9635
Phone
(435) 843-9964

Authorized Official

Name
MS. KATHERINE E. DEVRIES, APRN
Title
OWNER/PROVIDER
Phone
(435) 843-9964

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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