Deven Willardson, BSN, RN

NPI #1376033456 in Logan, Utah

Provider Information

NPI Number: 1376033456
Entity Type: Individual
Name: Deven Willardson, BSN, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: BSN, RN
Enumeration Date: May 15, 2018
Last Updated: Mar 26, 2019

Practice Location

Address: 1350 N 500 E
City: Logan
State: Utah
ZIP Code: 84341-2400
Phone: (435) 716-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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