Individual
PAUL S ROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1055 N 500 W, STE 100, BLDG B, PROVO, UT 84604-3305
(801) 374-1268
(801) 812-5454
Mailing address
1055 N 500 W, ATT CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
320175-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
320175-4405
UT
Other
Enumeration date
08/19/2006
Last updated
02/05/2025
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