Individual
JULIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1750 SIDEWINDER DR, PARK CITY, UT 84060-7570
(435) 649-7640
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 649-7640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5916604-4405
UT
Other
Enumeration date
11/10/2022
Last updated
09/18/2023
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