Individual
CHERYL ANN CORBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
591 S STATE ST, PROVO, UT 84606-5056
(801) 422-7191
Mailing address
591 S STATE ST, PROVO, UT 84606-5056
(801) 422-7191
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217709-4405
UT
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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