Individual
MARY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
512 E 200 N, BOUNTIFUL, UT 84010-3560
(801) 390-3554
Mailing address
512 E 200 N, BOUNTIFUL, UT 84010-3560
(801) 390-3554
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
32930504405
UT
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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