Individual
TEYA C WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5089 S 900 E STE 100, MURRAY, UT 84117-5731
(801) 743-0700
Mailing address
5089 S 900 E STE 100, MURRAY, UT 84117-5731
(801) 743-0700
(801) 743-0701
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5292638-4405
UT
Other
Enumeration date
08/04/2021
Last updated
08/31/2022
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