network|NPI|TIN|Name|FirstName|MI|LastName|Degree|Specialty|Address|City|State|Zip|Phone|TermDate|ReportDate
WISE|1053321729|203847246|MT NEBO ANESTHESIA ASSOCIATES|||||Anesthesiology|48 W 1500 N|NEPHI|UT|84648|8018254700|2022-06-30|2022-09-15
WISE|1053321729|203847246|MT NEBO ANESTHESIA ASSOCIATES|||||Anesthesiology|P.O. BOX 3810|SALT LAKE CITY|UT|84110|8018254700|2022-06-30|2022-09-15
WISE|1093190753|870476172||KATHLEEN|E|APODACA|LMHC|Counseling|525 E 4500 S STE F125|SALT LAKE CITY|UT|84107|8012681564|2022-07-01|2022-09-15
WISE|1093190753|870476172||KATHLEEN|E|APODACA|LMHC|Counseling|575 23RD ST|OGDEN|UT|84401|8012681564|2022-07-01|2022-09-15
WISE|1295190189|870281028||NATHAN||BROWN|LCSW|Social Worker|2850 N 2000 W STE 101|OGDEN|UT|84404|8015285095|2022-05-28|2022-09-15
WISE|1295190189|870281028||NATHAN||BROWN|LCSW|Social Worker|5640 S 3500 W|ROY|UT|84067|8018125033|2022-05-28|2022-09-15
WISE|1295190189|870281028||NATHAN||BROWN|LCSW|Social Worker|PO BOX 30079|SALT LAKE CITY|UT|84130|8013758858|2022-05-28|2022-09-15
WISE|1487622908|870476172||ROBERT|F|PRAMANN|PHD|Psychology|525 E 4500 S STE F125|SALT LAKE CITY|UT|84107|8012681564|2022-07-01|2022-09-15
WISE|1487622908|870476172||ROBERT|F|PRAMANN|PHD|Psychology|575 23RD ST|OGDEN|UT|84401|8012681564|2022-07-01|2022-09-15
WISE|1851377725|870218917||YORK|J|YATES|MD|Plastic Surgery|2121 N 1700 W|LAYTON|UT|84041|8017734840|2022-08-22|2022-09-15