Individual
SOPHIA ELAINE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
355 N MAIN ST, KANAB, UT 84741-3260
(435) 644-4100
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10712354-4405
UT
Other
Enumeration date
09/13/2023
Last updated
10/12/2023
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