Individual
VINCENT GUY DEMARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
USCG HQ, COMDT (CG-1122) 2100 2ND ST, WASHINGTON, DC 20593-0001
(860) 444-8402
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
8321729-3102
UT
247200000X
Other Technician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8321729-4405
UT
Other
Enumeration date
03/01/2006
Last updated
12/21/2020
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