Individual
PHYLICIA PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
7943 N PEREGRINE CIR, EAGLE MOUNTAIN, UT 84005-4177
(801) 787-0482
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7869459-4405
UT
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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