institution
Wholelife Family Wellness Clinic Of Providence Pllc
Family Nurse Practitioner in Providence, Utah
NPI 1962049932

Wholelife Family Wellness Clinic Of Providence Pllc is a Family Nurse Practitioner based in Logan, UT and is specialized in Family. Wholelife Family Wellness Clinic Of Providence Pllc practices in Providence, UT. The NPI Number for Wholelife Family Wellness Clinic Of Providence Pllc is 1962049932 and holds a License No. (Utah).

The current practice location address for Wholelife Family Wellness Clinic Of Providence Pllc is 169 N Gateway Dr. Suite 170, Providence, UT and can be reached out via phone at 435-213-3597.

Location: 169 N Gateway Dr. Suite 170, Providence, UT, 84321-3915
institution
Provider Profile Details
NPI Number
1962049932
Provider Name
Wholelife Family Wellness Clinic Of Providence Pllc
Credential
Provider Entity Type
Organization
Address
169 N Gateway Dr. Suite 170, Providence, UT, 84321-3915
Phone Number
435-213-3597
Fax Number
Provider Enumeration Date
12/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
169 N Gateway Dr. Suite 170
City
State
Zip
84332
Phone Number
435-213-3597
Fax Number
person
Provider Business Mailing Address Details
Address
169 N Gateway Dr. Suite 170
City
State
Zip
84332
Phone Number
435-213-3597
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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