Individual
RILEY WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8811 S ALTAIR DR, SANDY, UT 84093-1510
(801) 201-7242
Mailing address
8811 S ALTAIR DR, SANDY, UT 84093-1510
(801) 201-7242
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
10870685-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
10870685-4405
UT
Other
Enumeration date
01/30/2023
Last updated
05/26/2023
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