Individual
TIFFANY SCOVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 688-4293
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9397965-3102
UT
363L00000X
Nurse Practitioner
Primary
9397965-4405
UT
363LF0000X
Family Nurse Practitioner
9397965-4405
UT
Other
Enumeration date
09/26/2023
Last updated
07/24/2024
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