Individual
NANCY A. WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
520 MEDICAL DR, SUITE 340, BOUNTIFUL, UT 84010-4968
(801) 296-6665
(801) 296-6667
Mailing address
1121 E 3900 S, SUITE C-240, SALT LAKE CITY, UT 84124-1214
(801) 266-0878
(801) 266-2074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
106900-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B0555
—
UT
Enumeration date
05/10/2006
Last updated
10/08/2007
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