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Individual

NATHANIEL BEAU SMITHSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
852 S SLATE CANYON DR, PROVO, UT 84606-6481
(760) 559-7038
Mailing address
852 S SLATE CANYON DR, PROVO, UT 84606-6481
(760) 559-7038

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10921774-4405
UT

Other

Enumeration date
10/01/2025
Last updated
10/01/2025
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