Individual
JOSIAH BONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP
Contact information
Practice address
1756 W PARK AVE, RIVERTON, UT 84065-4701
(801) 254-0309
Mailing address
9609 N SHILOH WAY # A, EAGLE MOUNTAIN, UT 84005-4416
(801) 367-9496
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5532914-4405
UT
Other
Enumeration date
07/13/2020
Last updated
07/27/2020
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