Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1750249918 |
| LBN Legal business name | CANYONS FAMILY WELLNESS, LLC |
| Authorized official | KAMI STEVENS - (VICE PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/14/2026 |
| Last updated | 03/23/2026 - About 3 months ago |
| Identifiers | n/a |
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