Individual
EMILY S HIMEBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3584 W 9000 S, SUITE 300, WEST JORDAN, UT 84088-5710
(801) 563-5121
Mailing address
3584 W 9000 S, SUITE 300, WEST JORDAN, UT 84088-5710
(801) 563-5121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6309379-4405
UT
Other
Enumeration date
11/17/2010
Last updated
03/10/2014
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