Individual
SUSAN HEUGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1276 WALL AVE, OGDEN, UT 84404-5657
(801) 337-4000
Mailing address
1276 SOUTH WALL AVE., OGDEN, UT 84404-5657
(801) 337-4000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
6531129-4405
UT
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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