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Individual

MS. INEZ B WITHERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
157 N COMMERCIAL ST, MORGAN, UT 84050-9570
(256) 425-7884
Mailing address
PO BOX 27, MORGAN, UT 84050-0027
(256) 425-7884

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
1-095255
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
106663828900
UT

Other

Enumeration date
03/27/2007
Last updated
01/07/2020
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