Individual
TAYLOR N FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 251-2600
(435) 251-2600
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9645312-3102
UT
363L00000X
Nurse Practitioner
Primary
9645312-4405
UT
Other
Enumeration date
08/15/2022
Last updated
11/29/2022
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