Provider Demographics
NPI:1912234402
Name:PRICE, TORILYNN (FNP)
Entity Type:Individual
Prefix:
First Name:TORILYNN
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:379 N 500 W STE 1A
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-1956
Mailing Address - Country:US
Mailing Address - Phone:435-789-1165
Mailing Address - Fax:435-789-1169
Practice Address - Street 1:379 N 500 W STE 1A
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-1956
Practice Address - Country:US
Practice Address - Phone:435-789-1165
Practice Address - Fax:435-789-1169
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5334830 4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily