Individual
NANCY MARIE RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
9103 S 1300 W STE 102, WEST JORDAN, UT 84088-6709
(801) 417-0131
Mailing address
PO BOX 396, SPRINGBORO, OH 45066-0396
(801) 674-5668
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
—
—
363LF0000X
Family Nurse Practitioner
Primary
10858695-4405
UT
Other
Enumeration date
08/03/2021
Last updated
02/21/2024
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