Individual
HOLLY WORTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 MEDICAL DR STE 300, BOUNTIFUL, UT 84010-8925
(801) 292-1422
Mailing address
520 MEDICAL DR STE 300, BOUNTIFUL, UT 84010-8925
(801) 292-1422
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
8297985-4405
UT
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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