Individual
MR. NICHOLAS KERRY WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-6600
Mailing address
PO BOX 571117, MURRAY, UT 84157-1117
(801) 879-1926
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
9391941-3102
UT
363L00000X
Nurse Practitioner
Primary
9391941-4405
UT
Other
Enumeration date
06/25/2025
Last updated
07/01/2025
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