Individual
JOANNIE AMORES MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
(801) 587-4379
Mailing address
1265 N 325 E, BOUNTIFUL, UT 84010-4539
(801) 866-9131
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
9079298-3102
UT
363L00000X
Nurse Practitioner
9079298-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
9079298-4405
UT
Other
Enumeration date
04/26/2023
Last updated
12/08/2024
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