Individual
COREY WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
145 W 200 N STE 600, PROVO, UT 84601-3016
(801) 821-2781
Mailing address
145 W 200 N STE 600, PROVO, UT 84601-3016
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
12036411-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12036411-4405
UT
Other
Enumeration date
04/02/2026
Last updated
05/06/2026
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