Individual
DR. GERALDINE OKA MATSUMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD APRN
Contact information
Practice address
117 WEST 200 SOUTH, FARMINGTON, UT 84025-1036
(801) 451-4843
(801) 451-2839
Mailing address
PO BOX 1036, 117 WEST 200 SOUTH, FARMINGTON, UT 84025-1036
(801) 451-4843
(801) 451-2839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1890474405
UT
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
1890478900
UT
Other
Enumeration date
09/26/2006
Last updated
09/11/2025
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