Organization
WASATCH FUNCTIONAL MEDICINE
Active
Other names
Wasatch Functional Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE KELLY PIERCE FNP-C (OWNER/NURSE PRACTITIONER)
(801) 332-9034
Entity
Organization
Contact information
Practice address
5711 S 1475 E STE 201, SOUTH OGDEN, UT 84403-5185
(801) 332-9034
Mailing address
5711 S 1475 E STE 201, SOUTH OGDEN, UT 84403-5185
(801) 332-9034
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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