Organization
ENVISION HOLDCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIE STEWART (COO)
(801) 225-7971
Entity
Organization
Contact information
Practice address
1345 W 1600 N # 202, OREM, UT 84057-2431
(801) 225-7971
Mailing address
1345 W 1600 N # 202, OREM, UT 84057-2431
(801) 225-7971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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