Individual
MRS. BELLANCA JEANINE WYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1792 W 1700 S, SYRACUSE, UT 84075-9645
(801) 773-8644
Mailing address
1792 W 1700 S, SYRACUSE, UT 84075-9645
(801) 773-8644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12413980-4405
UT
Other
Enumeration date
02/22/2021
Last updated
10/22/2023
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