Individual
MARA L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1055 N 500 W STE 222, PROVO, UT 84604-3305
(801) 377-4623
(801) 377-6832
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
350764-4405
UT
Other
Enumeration date
04/16/2025
Last updated
07/02/2025
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