Individual
VIRGINIA HUTTON MANAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 S 100 E, TOOELE, UT 84074-2116
(435) 843-3440
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.520054
IL
163W00000X
Registered Nurse
25634630
WI
363LF0000X
Family Nurse Practitioner
Primary
13196457-4405
UT
363LF0000X
Family Nurse Practitioner
209026151
IL
Other
Enumeration date
01/14/2022
Last updated
10/18/2024
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