Individual
ASHLEY DIANE BUSDICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
852 N 500 W, PROVO, UT 84604-3322
(801) 357-8690
Mailing address
852 N 500 W, PROVO, UT 84604-3322
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10957060-4405
UT
Other
Enumeration date
04/09/2021
Last updated
08/26/2022
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