Individual
PHILOMINA EBERE OBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
275 W 200 N STE 7, KAYSVILLE, UT 84037-1873
(801) 546-1300
(801) 546-1301
Mailing address
149 EASTFORK CIR, FARMINGTON, UT 84025-2672
(801) 641-3691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
90455463102
UT
363LF0000X
Family Nurse Practitioner
Primary
9045546-4405
UT
Other
Enumeration date
04/24/2023
Last updated
08/24/2024
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