Individual
MR. JESUS ALONSO FIERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP-AC
Contact information
Practice address
1380 E MEDICAL CENTER DR, SAINT GEORGE, UT 84790-2123
(435) 251-1000
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8894789-4405
UT
363LP0222X
Critical Care Pediatric Nurse Practitioner
8894789-4405
UT
Other
Enumeration date
10/24/2022
Last updated
03/09/2023
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