Individual
MRS. DEBRA J WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
557 W 2600 S, BOUNTIFUL, UT 84010-7717
(801) 298-9155
(801) 298-9156
Mailing address
557 W 2600 S, BOUNTIFUL, UT 84010-7717
(801) 298-9155
(801) 298-9156
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
4930416-4405
UT
363LA2100X
Acute Care Nurse Practitioner
Primary
4930416-4405
UT
363LF0000X
Family Nurse Practitioner
184272-0
MN
363LF0000X
Family Nurse Practitioner
4930416-4405
UT
Other
Enumeration date
09/22/2006
Last updated
12/20/2021
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