Individual
HOLLY GRACE DUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, FNP-C
Contact information
Practice address
5557 W 4100 S, WEST VALLEY CITY, UT 84120-4629
(801) 966-1118
Mailing address
5557 W 4100 S, WEST VALLEY CITY, UT 84120-4629
(801) 966-1118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12115763-4405
UT
363LF0000X
Family Nurse Practitioner
F07200442
MA
Other
Enumeration date
07/06/2020
Last updated
03/12/2021
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