Individual
JOSH TWITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1408 E GILMER DR, SALT LAKE CITY, UT 84105-1605
(801) 673-0488
Mailing address
1408 E GILMER DR, SALT LAKE CITY, UT 84105-1605
(801) 673-0488
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
8757899-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
11909799-4405
UT
Other
Enumeration date
06/25/2019
Last updated
05/03/2022
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