Individual
MIRANDA BUTTARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1010 S MEDICAL DR, BRIGHAM CITY, UT 84302-3050
(435) 310-5800
Mailing address
5870 W 8800 N, TREMONTON, UT 84337-8620
(435) 230-5199
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10196162-4405
UT
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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