This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / UT
NURSE PRACTITIONER
Graduated: 2023
NPI: 1609655927
200 N GATEWAY DR, SUITE B
PROVIDENCE, UT 843329001
Source: CMS National Downloadable File, September 2026.