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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BERNARD M MUTIE, APRN

Active

BERNARD M MUTIE, APRN is a Gerontological Nurse Practitioner healthcare provider located in DRAPER, Utah. NPI 1396255360 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · DRAPER, UT

Registration Details

NPI Number
1396255360
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2017 (8.6798332869747 yrs)
Last Updated
Jun 11, 2020
License
79878114405 (UT)

Practice Information

Address
12433 S FORT ST
DRAPER, UT, 840209363
Browse UT providers · Browse ZIP 84020
Phone
8015761086
Fax
8015769796
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in DRAPER, UT

Name Credential NPI
NICOLE MARIE GREENE APRN 1538830989
SHEILA R MIONI APRN 1619639242
SINDHU N/A PANDEY 1720853138
ELENA STANKEVICH 1538039276
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.