Individual
HEATHER C NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
714 S STATE ST, OREM, UT 84058-6366
(801) 899-0191
Mailing address
714 S STATE ST, OREM, UT 84058-6366
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
339650-3101
UT
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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