Individual
AMANDA J BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-BC
Contact information
Practice address
2975 W EXECUTIVE PKWY STE 123, LEHI, UT 84043-9642
(801) 800-0218
Mailing address
594 N 100 W, LEHI, UT 84043-1502
(801) 592-3987
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4916775-4405
UT
Other
Enumeration date
12/17/2008
Last updated
01/09/2024
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