Individual
EDWIN O AWINDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
5450 S GREEN ST STE A, MURRAY, UT 84123-5632
(801) 486-4877
Mailing address
120 W 1300 S, SALT LAKE CITY, UT 84115-5230
(801) 486-4877
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7321629-4405
UT
363LG0600X
Gerontology Nurse Practitioner
Primary
7321629-8900
UT
Other
Enumeration date
05/29/2018
Last updated
02/10/2026
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