Individual
MRS. ALEXA NICOLE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1784 UINTA WAY UNIT E2, PARK CITY, UT 84098-7685
(435) 604-0160
Mailing address
545 S KELLER RD UNIT 2215, ORLANDO, FL 32810-6310
(407) 694-0346
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11808034405
UT
Other
Enumeration date
07/21/2020
Last updated
10/16/2021
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