Individual
JIM W. VAN ZANT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN,CS
Contact information
Practice address
895 N 900 E, AMERICAN FORK, UT 84003-9183
(801) 763-4173
(801) 763-4073
Mailing address
895 N 900 E, AMERICAN FORK, UT 84003-9183
(801) 763-4173
(801) 763-4073
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
852132134405
UT
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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