person
Martha Fern Southwick, NP
Family Nurse Practitioner in West Jordan, Utah
NPI 1568685550

Martha Fern Southwick is a Family Nurse Practitioner based in West Jordan, UT and is specialized in Family. Martha Fern Southwick practices in West Jordan, UT and has the professional credentials of NP. The NPI Number for Martha Fern Southwick is 1568685550 and holds a License No. 2000204405 (Utah).

The current practice location address for Martha Fern Southwick is 8541 S Redwood Rd Ste C2, West Jordan, UT and can be reached out via phone at 801-432-7712 and via fax at 866-817-1629.

Location: 8541 S Redwood Rd Ste C2, West Jordan, UT, 84088-6631
person
Provider Profile Details
NPI Number
1568685550
Provider Name
Martha Fern Southwick
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
8541 S Redwood Rd Ste C2, West Jordan, UT, 84088-6631
Phone Number
801-432-7712
Fax Number
866-817-1629
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1017129 05 UT
institution
Provider Business Practice Location Address Details
Address
8541 S Redwood Rd Ste C2
City
State
Zip
84088
Phone Number
801-432-7712
Fax Number
866-817-1629
person
Provider Business Mailing Address Details
Address
8541 S Redwood Rd Ste C2
City
State
Zip
84088
Phone Number
801-432-7712
Fax Number
866-817-1629
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2000204405 (Utah)
Definition
Definition to come...
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