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Austin King Fackler, FNP-C
Family Nurse Practitioner in Erda, Utah
NPI 1437871514

Austin King Fackler is a Family Nurse Practitioner based in Erda, UT and is specialized in Family. Austin King Fackler practices in Erda, UT and has the professional credentials of FNP-C. The NPI Number for Austin King Fackler is 1437871514 and holds a License No. 11081203-4405 (Utah).

The current practice location address for Austin King Fackler is 5132 Heidi Way, Erda, UT and can be reached out via phone at 435-773-8173.

Location: 5132 Heidi Way, Erda, UT, 84074-9246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437871514
Provider Name
Austin King Fackler
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
5132 Heidi Way, Erda, UT, 84074-9246
Phone Number
435-773-8173
Fax Number
Provider Enumeration Date
09/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5132 Heidi Way
City
Erda
State
Utah
Zip
84074-9246
Phone Number
435-773-8173
Fax Number
person
Provider Business Mailing Address Details
Address
5132 Heidi Way
City
Erda
State
Utah
Zip
84074-9246
Phone Number
435-773-8173
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11081203-4405 (Utah)
Definition
Definition to come...
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