Individual
ZACHARIA ISAIA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1000 E 100 N, PAYSON, UT 84651-1600
(801) 465-7041
(801) 465-7409
Mailing address
PO BOX 742353, ATLANTA, GA 30374-2353
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8029277-4405
UT
Other
Enumeration date
05/31/2018
Last updated
04/27/2020
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