Individual
JOANIE LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1345 W 1600 N # 202, OREM, UT 84057-2431
(801) 318-1544
Mailing address
1345 W 1600 N # 202, OREM, UT 84057-2431
(801) 318-1544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7220540-4405
UT
363LP2300X
Primary Care Nurse Practitioner
7220540-4405
UT
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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