Individual
HEIDI FAVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1160 E 3900 S, STE 3500, SALT LAKE CITY, UT 84124-1202
(801) 743-4750
(801) 743-4765
Mailing address
1160 E 3900 S, STE 3500, SALT LAKE CITY, UT 84124-1202
(801) 743-4750
(801) 743-4765
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
354334-4405
UT
Other
Enumeration date
07/21/2014
Last updated
10/26/2021
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