Most Relevant Information
Provider Data
NPI Number: | 1003267923 |
Provider Name: | BROOKS WILEY FPMHNP-BC |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | APRN002314 |
Most Important Dates
Enumeration Date: | 06/22/2016 |
Last Updated: | 05/29/2018 |
Provider Practice Location
230 N 1680 E STE H1
ST GEORGE
UT
84790
Practice Location Phone/Fax
Phone: | 4356521897 |
Fax: |
Provider Mailing Location
230 N 1680 E STE H1
ST GEORGE
UT
847902584
Provider Mailing Phone/Fax
Phone: | 4356521897 |
Fax: |