Organization
OPTIMAL HEALTH FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE TAYLOR NP (OWNER/NP)
(801) 877-5801
Entity
Organization
Contact information
Practice address
240 E CENTER STREET, PROVO, UT 84606
(801) 877-5801
(801) 877-5802
Mailing address
240 E CENTER STREET, PROVO, UT 84606
(801) 877-5801
(801) 877-5802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
603203313
—
UT
Enumeration date
02/19/2019
Last updated
05/12/2023
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