Individual
PAMELA SUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
564 S SADDLE RD, GRANTSVILLE, UT 84029-5556
(435) 224-3124
Mailing address
564 S SADDLE RD, GRANTSVILLE, UT 84029-5556
(435) 224-3124
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6583183-4405
UT
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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