NPI 1003425356

Matthew Weston Pommerville, FNP

Practitioner Family Nurse Practitioner Park City, UT

Practice location

Address: 1600 Snow Creek Dr, Park City, UT 84060-7372
Phone: (435) 655-0055
Fax: (435) 655-8979
Mailing address: PO Box 198560, Atlanta, GA 30384-8560

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 8038057-4405 (UT)

Other Nurse Practitioner providers in Utah →

Registry record

NPI: 1003425356
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jul 2020
Record last updated: 18 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.