Individual
MATTHEW JONATHAN BADGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1055 N 300 W STE 400, PROVO, UT 84604-3359
(801) 357-7404
(801) 357-7587
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-3460
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
319180-4405
UT
363LF0000X
Family Nurse Practitioner
319180-4405
UT
Other
Enumeration date
04/04/2007
Last updated
04/13/2026
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