Individual
AMANDA A WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5740 CRESTWOOD DR, OGDEN, UT 84405
(801) 479-7771
(801) 479-7795
Mailing address
348 E 4500 S, STE 220, SALT LAKE CITY, UT 84107-8524
(801) 397-6200
(801) 397-6201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
295227-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164816906
—
UT
Enumeration date
03/18/2015
Last updated
06/10/2021
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