Individual
ELISE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 NOVELL PL, PROVO, UT 84606-6171
(480) 388-2808
Mailing address
3556 W 9800 S STE 101, SOUTH JORDAN, UT 84095-3221
(801) 567-9780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14252273-1206
UT
Other
Enumeration date
05/08/2024
Last updated
12/16/2025
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