Individual
KELSIE FAITH BEDDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4095 E PONY EXPRESS PKWY STE 1, EAGLE MOUNTAIN, UT 84005-5531
(801) 429-8037
Mailing address
1055 N 500 W ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10496724-4405
UT
Other
Enumeration date
10/20/2022
Last updated
08/23/2023
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