Individual
ASHLEE BRYNN FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1160 E 3900 S STE G200, SALT LAKE CITY, UT 84124-1224
(801) 268-7766
Mailing address
PO BOX 742382, ATLANTA, GA 30374-2382
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6258162-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
6258162-4405
UT
Other
Enumeration date
11/29/2023
Last updated
07/02/2024
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