Individual
AUSTIN SUMNER HEAPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1044 N 600 E, MORGAN, UT 84050-9269
(801) 310-0221
Mailing address
982 CHAMBERS ST, OGDEN, UT 84403-4571
(801) 479-4105
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9518515-4405
UT
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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