Organization
SUNRISE WOMENS HEALTH AND WELLNESS PLLC
Active
Organization
SUNRISE WOMENS HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK PICKERING FNP (OWNER)
(385) 448-0055
Entity
Organization
Contact information
Practice address
724 S 1600 W STE 200, MAPLETON, UT 84664-4349
(385) 448-0055
(801) 797-0281
Mailing address
724 S 1600 W STE 200, MAPLETON, UT 84664-4349
(385) 448-0055
(801) 797-0281
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720497597
NPPES
—
Enumeration date
12/29/2021
Last updated
10/24/2022
Update your record
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