Organization
TEYA WILSON DNP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEYA CHILTON WILSON DNP (DNP/OWNER)
(801) 721-2548
Entity
Organization
Contact information
Practice address
5089 S 900 E STE 100, SALT LAKE CITY, UT 84117-5731
(801) 743-0700
(801) 743-0701
Mailing address
2561 S 1560 W STE B, WOODS CROSS, UT 84087-2361
(801) 505-0821
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5292638-4405
LICENSE
UT
Enumeration date
11/03/2021
Last updated
11/03/2021
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