Individual
ABIGAIL RIDDLE BEYELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7109
Mailing address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
10656120-3102
UT
163WG0000X
General Practice Registered Nurse
RN.463399
OH
363LF0000X
Family Nurse Practitioner
Primary
10656120-3102
UT
Other
Enumeration date
04/18/2023
Last updated
03/04/2024
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