Wholelife Family Wellness Clinic of Providence Pllc
NPI #1962049932 in Providence, Utah
Provider Information
- NPI Number
- 1962049932
- Entity Type
- Organization
- Organization Name
- Wholelife Family Wellness Clinic of Providence Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Dec 9, 2019
- Last Updated
- Mar 13, 2020
Practice Location
- Address
- 169 N GATEWAY DR. SUITE 170
- City
- Providence
- State
- Utah
- ZIP Code
- 84332
- Phone
- (435) 213-3597
Authorized Official
- Name
- NATALIE JEAN GIBSON, APRN, FNP-C, DNP
- Title
- CO-OWNER
- Phone
- (435) 213-3597
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Nurse Practitioner - Family — Family |
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