| Wasatch Functional Medicine | |
|
5711 S 1475 E Ste 201 South Ogden UT 84403-5185 | |
| (801) 332-9034 | |
| Not Available |
| Full Name | Wasatch Functional Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 5711 S 1475 E Ste 201, South Ogden, Utah |
| Authorized Official Name and Position | Catherine Kelly Pierce (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 8013329034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wasatch Functional Medicine 5711 S 1475 E Ste 201 South Ogden UT 84403-5185 Ph: (801) 332-9034 | Wasatch Functional Medicine 5711 S 1475 E Ste 201 South Ogden UT 84403-5185 Ph: (801) 332-9034 |
| NPI Number | 1396499414 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396499414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
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Shelby Pitts Fnp Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5640 Wasatch Dr Ste A, South Ogden, UT 84403 Phone: 801-920-6974 | |
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