Individual
TAYLER ROUECHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1261 W 1700 S UNIT D, SYRACUSE, UT 84075-1204
(385) 364-7018
Mailing address
3804 S 5600 W, HOOPER, UT 84315-9671
(385) 364-7018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14141482-4405
UT
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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