Individual
DUSTIN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
425 S 100 W, LAYTON, UT 84041
(801) 773-4840
Mailing address
2412 W 1125 S, SYRACUSE, UT 84075-7049
(801) 682-6955
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
9784958-4405
UT
363LP2300X
Primary Care Nurse Practitioner
9784958-8900
UT
Other
Enumeration date
03/18/2021
Last updated
05/13/2024
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