Individual
JOSEPHINE S ISHAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2540 WASHINGTON BLVD, OGDEN, UT 84401-3122
(801) 626-3270
Mailing address
5330 S 4200 W, ROY, UT 84067-8162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5299918-4405
UT
363LP2300X
Primary Care Nurse Practitioner
5299918-4405
UT
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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