Individual
WHITNEY FLOISAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 336-8869
Mailing address
PO BOX 1275, VINEYARD, UT 84059-1275
(801) 336-8869
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7858015-3102
UT
363L00000X
Nurse Practitioner
Primary
7958015-4405
UT
Other
Enumeration date
05/26/2023
Last updated
10/11/2024
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