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
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