Individual
MR. CRAIG PENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
822 E MAIN ST STE 7, GRANTSVILLE, UT 84029-2501
(435) 884-3578
Mailing address
89 W HIDDEN ACRES LN, ERDA, UT 84074-5585
(435) 224-2634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8295780-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
8295780-4405
UT
Other
Enumeration date
07/21/2016
Last updated
06/29/2023
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