Individual
IVY DEAN WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
1320 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-8847
(801) 254-9700
(801) 254-9755
Mailing address
12493 S SHADE LN, RIVERTON, UT 84065-1678
(801) 362-8804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11612851-4405
UT
Other
Enumeration date
04/17/2023
Last updated
06/04/2024
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