Individual
ANDREA GAYLE SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
630 E 1400 N STE 150, LOGAN, UT 84341-2549
(435) 915-4465
Mailing address
463 S CENTER ST, HYRUM, UT 84319-1606
(435) 764-5289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5680277-4405
UT
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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