Individual
REBECCA DAVIS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN STUDENT
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3337
(801) 357-7850
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-3367
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8658293-3102
UT
Other
Enumeration date
02/07/2022
Last updated
05/31/2022
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