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Individual

MITCHELL HOLMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP, AGNP-C

Contact information

Practice address
4464 S DRIFTWOOD DR, TAYLORSVILLE, UT 84123-3208
(801) 360-1063
Mailing address
4464 S DRIFTWOOD DR, TAYLORSVILLE, UT 84123-3208
(801) 360-1063

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14020856-8900
UT

Other

Enumeration date
06/20/2024
Last updated
06/20/2024
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