Individual
AMANDA D WEBB-ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
392 N MAIN ST, CENTERVILLE, UT 84014-1819
(801) 577-8678
Mailing address
392 N MAIN ST, CENTERVILLE, UT 84014-1819
(801) 577-8678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6751234-4405
UT
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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