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Optvida, Llc
Psychiatric/Mental Health Nurse Practitioner in Logan, Utah
NPI 1740041748

Optvida, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Providence, UT and is specialized in Psychiatric/Mental Health. Optvida, Llc practices in Logan, UT. The NPI Number for Optvida, Llc is 1740041748 and holds a License No. (Utah).

The current practice location address for Optvida, Llc is 1034 Rsi Dr Unit 120, Logan, UT and can be reached out via phone at 435-704-9342 and via fax at 435-355-3874.

Location: 1034 Rsi Dr Unit 120, Logan, UT, 84332-9801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740041748
Provider Name
Optvida, Llc
Credential
Provider Entity Type
Organization
Address
1034 Rsi Dr Unit 120, Logan, UT, 84332-9801
Phone Number
435-704-9342
Fax Number
435-355-3874
Provider Enumeration Date
01/17/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1034 Rsi Dr Unit 120
City
Logan
State
Utah
Zip
84321-2203
Phone Number
435-704-9342
Fax Number
435-355-3874
person
Provider Business Mailing Address Details
Address
1034 Rsi Dr Unit 120
City
Logan
State
Utah
Zip
84321-2203
Phone Number
435-704-9342
Fax Number
435-355-3874
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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