Individual
JONATHAN BOATWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2135 W MAIN ST STE B207, LEHI, UT 84043-6937
(801) 224-3014
Mailing address
13352 S 5600 W, HERRIMAN, UT 84096-6789
(801) 446-2760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5079309-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5079309-4405
UT
Other
Enumeration date
06/28/2019
Last updated
09/10/2024
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