Individual
AVERY WEIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 W ANTELOPE DR STE 225, LAYTON, UT 84041-1167
(801) 820-5414
Mailing address
1660 W ANTELOPE DR STE 225, LAYTON, UT 84041-1167
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11213312-4405
UT
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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