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NPI Profile for TAYLOR WIDDISON in LOGAN, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Obstetric, Inpatient |
163WX0003X |
| NPI Number | 1689451478 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/13/2023 | |
| Last updated | 12/08/2023 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TAYLOR WIDDISON
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TAYLOR WIDDISON