Individual
MS. DORI PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-8879
Mailing address
422 N PALISADES DR, OREM, UT 84097-4300
(908) 720-0527
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
332791-4405
UT
Other
Enumeration date
03/28/2011
Last updated
11/16/2011
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