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Individual

DR. BETHANY GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, MSN-ED., FNP-C

Contact information

Practice address
10920 S RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-3538
(801) 878-1095
Mailing address
178 W SHORT TAILED, SARATOGA SPRINGS, UT 84045-6462
(801) 854-8763

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9099972-4405
UT

Other

Enumeration date
08/01/2019
Last updated
08/01/2019
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