Individual
ANDREA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5314 N 250 W STE 220, PROVO, UT 84604-7746
(801) 225-8484
Mailing address
5314 N 250 W STE 220, PROVO, UT 84604-7746
(801) 225-8484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6988493-4405
UT
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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