Individual
MRS. MICHAELLE LEI SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
922 W BAXTER DR, SOUTH JORDAN, UT 84095-8613
(801) 253-3200
Mailing address
7450 GOLDEN EAGLE CT, FALLON, NV 89406-7105
(775) 232-7725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11948638-4405
UT
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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