Healthcare Provider Details

I. General information

NPI: 1750293262
Provider Name (Legal Business Name): JOSH BRONSON BATIN FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 S 2100 E
ST GEORGE UT
84790-1599
US

IV. Provider business mailing address

280 S 2100 E
SAINT GEORGE UT
84790-1599
US

V. Phone/Fax

Practice location:
  • Phone: 435-272-7043
  • Fax:
Mailing address:
  • Phone: 435-272-7043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number12877626-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: