Individual
DR. JOSH HOOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A/GNP, FNP-C, PMHNP
Contact information
Practice address
251 W STATE ROAD 198 STE 3, SALEM, UT 84653-5608
(801) 504-6665
(801) 504-6073
Mailing address
251 W STATE ROAD 198 STE 3, SALEM, UT 84653-5608
(801) 504-6665
(801) 504-6073
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6227164-4405
UT
363LA2200X
Adult Health Nurse Practitioner
6227164-4405
UT
363LF0000X
Family Nurse Practitioner
6227164-4405
UT
363LG0600X
Gerontology Nurse Practitioner
6227164-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6227164-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6227164-4405
APRN LICENSE NUMBER
UT
Enumeration date
09/20/2013
Last updated
07/19/2019
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