Astra Health And Wellness, LLC
Nurse Practitioner, Family in St George, UT. Organization (NPI-2).
NPI number1417653031
StatusActive
Last updated in NPPESFeb 21, 2023
Details
- NPI
- 1417653031
- Entity type
- Organization (NPI-2)
- Legal business name
- Astra Health And Wellness, LLC
- Organization subpart
- No
- Enumeration date
- Feb 6, 2023
- Certification date
- Feb 7, 2023
- Last updated
- Feb 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 363LW0102X | Nurse Practitioner, Women's Health | – | – |
Practice location
352 E Riverside Dr Ste A-1aSt George, UT 84790-6758
Phone 801-809-2382
Mailing address
352 E Riverside Dr Ste A-1aSt George, UT 84790-6758
Phone 435-565-1384
Authorized official
Maranda Carlile
Owner
4355651384
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