Individual
BARRETT RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7850
Mailing address
275 E 1075 N, SPRINGVILLE, UT 84663-3136
(801) 885-9410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8588686-4405
UT
Other
Enumeration date
09/16/2017
Last updated
09/16/2017
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