Individual
TAYLOR WIDDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 E 1400 N STE S, LOGAN, UT 84341-2407
(435) 716-1860
Mailing address
327 W 200 S, SMITHFIELD, UT 84335-2111
(801) 644-2504
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
10371161-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
10371161-4405
UT
Other
Enumeration date
09/13/2023
Last updated
12/08/2023
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