Individual
SUSAN CAROL BYERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
811 N 900 W, OREM, UT 84057-7701
(801) 434-7600
Mailing address
811 N 900 W, OREM, UT 84057-7701
(801) 434-7600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4776685-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4776685-4405
STATE OF UTAH LICENSE
UT
Enumeration date
02/16/2023
Last updated
02/16/2023
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