Organization
GRANTSVILLE HEALTH & WELLNESS CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE E. DEVRIES APRN (OWNER/PROVIDER)
(435) 843-9964
Entity
Organization
Contact information
Practice address
225 W APPLE ST, GRANTSVILLE, UT 84029-9635
(435) 843-9964
(435) 843-9964
Mailing address
271 E BROADWAY ST, TOOELE, UT 84074-3116
(435) 843-9964
(435) 843-9964
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
288698-4405
UT
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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