Individual
DANIEL CALVILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1924 N 1120 W, PROVO, UT 84604-1045
(385) 235-8422
(801) 723-3106
Mailing address
1924 N 1120 W, PROVO, UT 84604-1045
(385) 235-8422
(801) 723-3106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11817183-4405
UT
Other
Enumeration date
04/15/2025
Last updated
09/08/2025
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