Individual
ALBERTO W SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1664 S DIXIE DR STE E102, SAINT GEORGE, UT 84770-7329
(435) 703-9647
(435) 703-6003
Mailing address
1664 S DIXIE DR STE E102, SAINT GEORGE, UT 84770-7329
(435) 703-9647
(435) 703-6003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
6873612-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6873612-4405
UT
Other
Enumeration date
04/03/2013
Last updated
11/15/2023
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