Individual
HOLLY MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 N 775 E, TREMONTON, UT 84337-4103
(435) 915-6262
(435) 201-8200
Mailing address
280 S MAIN ST, BOUNTIFUL, UT 84010-6236
(801) 505-0821
(801) 505-0803
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13072796-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
10372796-4405
UT
Other
Enumeration date
04/15/2024
Last updated
08/13/2024
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