Individual
CRYSTAL MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864
Mailing address
498 N KAYS DR, KAYSVILLE, UT 84037-4137
(385) 382-1555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
5776694-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5776694-4405
UT
Other
Enumeration date
02/22/2022
Last updated
12/10/2023
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