Individual
MATTHEW THOMAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-7628
Mailing address
1957 W 5315 S, TAYLORSVILLE, UT 84129-1353
(801) 243-2044
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
8695316-4405
UT
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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