Individual
LACEY ROSE WINKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
972 N 600 E, SPANISH FORK, UT 84660-1306
(801) 465-4896
(801) 465-3267
Mailing address
1055 N 500 W, ATT: CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7853161-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
7853161-4405
UT
Other
Enumeration date
03/16/2023
Last updated
05/05/2023
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