Individual
MRS. GRETTA SNYDER FORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MSN, RN, NP-C
Contact information
Practice address
1750 NORTH WYMOUNT TERRACE DRIVE, PROVO, UT 84602-4800
(801) 422-2771
(801) 422-0764
Mailing address
974 E 620 N, PROVO, UT 84606-2004
(626) 628-5037
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
360925-8900
UT
363LF0000X
Family Nurse Practitioner
NP 15425
CA
Other
Enumeration date
03/16/2007
Last updated
08/20/2009
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