Individual
NANCY WESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 S MAIN ST STE C, RANDOLPH, UT 84064-7701
(435) 771-6799
Mailing address
PO BOX 126, RANDOLPH, UT 84064-0126
(435) 200-5612
(435) 793-3021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5676921-4405
UT
Other
Enumeration date
09/06/2017
Last updated
12/18/2024
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