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Martha Mogene Bodily, RN
Psychiatric/Mental Health Registered Nurse in Provo, Utah
NPI 1679716385

Martha Mogene Bodily is a Psychiatric/Mental Health Registered Nurse based in Provo, UT and is specialized in Psychiatric/Mental Health. Martha Mogene Bodily practices in Provo, UT and has the professional credentials of RN. The NPI Number for Martha Mogene Bodily is 1679716385 and holds a License No. 6992742-3101 (Utah).

The current practice location address for Martha Mogene Bodily is 750 N Freedom Blvd, Provo, UT and can be reached out via phone at 801-373-4760.

Location: 750 N Freedom Blvd, Provo, UT, 84601-1677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679716385
Provider Name
Martha Mogene Bodily
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
750 N Freedom Blvd, Provo, UT, 84601-1677
Phone Number
801-373-4760
Fax Number
Provider Enumeration Date
04/10/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
876000308007 05 UT
260022408 01 UT RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
750 N Freedom Blvd
City
Provo
State
Utah
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
person
Provider Business Mailing Address Details
Address
750 N Freedom Blvd
City
Provo
State
Utah
Zip
84601-1677
Phone Number
801-373-4760
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
6992742-3101 (Utah)
Definition
Definition to come...
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