Individual
EMILY WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4700
Mailing address
4045 BALTIMORE AVE APT D6, PHILADELPHIA, PA 19104-4520
(505) 699-6949
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
13161147-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/12/2022
Last updated
06/27/2023
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