Individual
SARAH GWENDOLYN HARMON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
589 S STATE ST, PROVO, UT 84606-5056
(801) 429-2900
Mailing address
1769 PINE LN, PROVO, UT 84604-2164
(801) 360-3696
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8199108-4405
UT
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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