Most Relevant Information
Provider Data
| NPI Number: | 1003682105 |
| Provider Name: | ASHLEE BRYNN FENTON FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 6258162-4405 |
Most Important Dates
| Enumeration Date: | 11/29/2023 |
| Last Updated: | 07/02/2024 |
Provider Practice Location
1160 E 3900 S STE G200
SALT LAKE CITY
UT
841241224
Practice Location Phone/Fax
| Phone: | 8012687766 |
| Fax: |
Provider Mailing Location
PO BOX 742382
ATLANTA
GA
303742382
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |