IndividualActive
Matthew Pommerville, FNP
NPI 1003425356 · Family Nurse Practitioner · Park City, UT
Provider details
- NPI number
- 1003425356
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- License
- 8038057-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1600 Snow Creek Dr
Park City, UT 84060-7372
Phone: (435) 655-0055
Fax: (435) 655-8979
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 198560
Atlanta, GA 30384-8560
Registry dates
- Enumerated
- 2020-07-23
- Last updated
- 2021-02-18
- Certified
- 2021-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.