Individual
BRIAN LEE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3943 E PONY EXPRESS PKWY STE 120, EAGLE MOUNTAIN, UT 84005-5543
(801) 789-5566
(801) 642-2942
Mailing address
3943 E PONY EXPRESS PKWY STE 120, EAGLE MOUNTAIN, UT 84005-5543
(801) 789-5566
(081) 642-2942
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9136475-4405
UT
Other
Enumeration date
12/04/2018
Last updated
08/06/2020
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