Individual
DAVEN SCOTT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1055 N 500 W STE 100, PROVO, UT 84604-3305
(801) 374-1268
(801) 418-0941
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
7974656-3102
UT
363LC1500X
Community Health Nurse Practitioner
7974656-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
7974656-4405
UT
363LP2300X
Primary Care Nurse Practitioner
7974656-4405
UT
Other
Enumeration date
06/03/2022
Last updated
11/14/2023
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