Individual
AMY THORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3665 S 8400 W, MAGNA, UT 84044-4907
(801) 250-9638
Mailing address
3123 S TRAILBLAZER CV, WEST VALLEY CITY, UT 84128-1214
(801) 548-3997
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4743010-4405
UT
Other
Enumeration date
12/20/2019
Last updated
12/17/2021
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