Individual
IVIE WITTWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 W 800 N, OREM, UT 84057-3660
(801) 714-6000
Mailing address
1594 E BLACKHAWK DR, PLEASANT GROVE, UT 84062-3320
(435) 619-9942
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12050190-4405
UT
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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