Organization
GRAND VALLEY PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE FIEDEL APRN (OWNER)
(801) 815-2068
Entity
Organization
Contact information
Practice address
2639 W 13220 S, RIVERTON, UT 84065-2279
(801) 815-2068
(610) 850-6778
Mailing address
2639 W 13220 S, RIVERTON, UT 84065-2279
(801) 815-2068
(610) 850-6778
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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