Individual
JULIE C. CHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1050 SOUTH MEDICAL DRIVE, STE 101, BRIGHAM CITY, UT 84302
(435) 538-1733
(435) 538-1752
Mailing address
1050 SOUTH MEDICAL DRIVE, STE 101, BRIGHAM CITY, UT 84302
(435) 538-1733
(435) 538-1752
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2167524405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09709
—
UT
Enumeration date
10/12/2005
Last updated
09/30/2021
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