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Individual

TASHA STURDEVANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, APRN, FNP-BC

Contact information

Practice address
1041 S MEDICAL DR STE 200, BRIGHAM CITY, UT 84302-3293
(435) 723-5248
(435) 723-5240
Mailing address
1041 S MEDICAL DR STE 200, BRIGHAM CITY, UT 84302-3293
(435) 723-5248
(435) 723-5240

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
7303322-3102
UT
207Q00000X
Family Medicine Physician
Primary
7303322-4405
UT

Other

Enumeration date
01/09/2024
Last updated
04/17/2026
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