Individual
JOSHUA WOODLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1206 W SOUTH JORDAN PKWY STE D, SOUTH JORDAN, UT 84095-5519
(801) 302-3801
(801) 302-7248
Mailing address
144 E MARIE DR, MIDVALE, UT 84047-2128
(208) 488-0958
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11772561-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
307248
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
79207
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NUR-APRN-LIC-240395
MT
Other
Enumeration date
04/22/2024
Last updated
07/02/2024
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