Individual
SKYLER TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
630 E 1400 N STE 150, LOGAN, UT 84341-2549
(435) 915-4465
Mailing address
740 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5285
(208) 542-9111
(208) 542-9114
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
363LP2300X
Primary Care Nurse Practitioner
9431214-4405
UT
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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