Individual
ANGELA ROBINS ROHATINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3337
(801) 357-3367
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7537729-3102
UT
363L00000X
Nurse Practitioner
Primary
753779-4405
UT
Other
Enumeration date
09/26/2022
Last updated
08/24/2023
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