Individual
MINDY K ROBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4650 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3200
(801) 475-3204
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3200
(801) 475-3204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8422272-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245630078
—
UT
Enumeration date
08/28/2014
Last updated
01/19/2017
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