Individual
AMANDA DARLENE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2678 W 1950 S, WEST HAVEN, UT 84401-5112
(801) 941-1638
Mailing address
2678 W 1950 S, WEST HAVEN, UT 84401-5112
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9646780-3102
UT
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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