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Individual

EMILY EVA HANNAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
3152 N UNIVERSITY AVE STE 120, PROVO, UT 84604-4746
(801) 375-2177
Mailing address
1065 N 100 E, AMERICAN FORK, UT 84003-1265
(509) 768-6797

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10246516-4405
UT

Other

Enumeration date
07/20/2024
Last updated
07/20/2024
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