Individual
AUSTIN DENNIS WRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
395 W BULLDOG BLVD, PROVO, UT 84604-3311
(801) 357-7081
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11777806-4405
UT
363LF0000X
Family Nurse Practitioner
11777806-4405
UT
Other
Enumeration date
10/29/2025
Last updated
11/25/2025
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