Individual
MR. TRENT WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1447 CANYON COVE GLN APT 29, OGDEN, UT 84401-0829
(801) 644-3083
Mailing address
1447 CANYON COVE GLN APT 29, OGDEN, UT 84401-0829
(801) 644-3083
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5319270-4405
UT
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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