Individual
COREY BINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
630 E 1400 N STE 150, LOGAN, UT 84341-2549
(435) 512-0978
Mailing address
754 S 150 E, SMITHFIELD, UT 84335-4710
(435) 512-0978
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
10439551-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
10439551-4405
UT
Other
Enumeration date
01/07/2025
Last updated
07/10/2025
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