Organization
RISE PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH HOMER DNP (MANAGER)
(801) 930-0776
Entity
Organization
Contact information
Practice address
180 N UNIVERSITY AVE STE 270, PROVO, UT 84601-5648
(801) 930-0776
(385) 217-6817
Mailing address
180 N UNIVERSITY AVE STE 270, PROVO, UT 84601-5648
(801) 930-0776
(385) 217-6817
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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