Individual
JENNIFER FAUCHER-WEGELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2400 N WASHINGTON BLVD, NORTH OGDEN, UT 84414-7233
(801) 786-7500
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6432782-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891264404
—
UT
Enumeration date
11/13/2018
Last updated
04/14/2022
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