Individual
EMILY WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
190 S MAIN ST STE B, CENTERVILLE, UT 84014-2839
(801) 614-8400
Mailing address
2009 S LAURELHURST DR, SALT LAKE CITY, UT 84108-3340
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9037704-4405
UT
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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