Individual
MELANIE RIEDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11724 S STATE ST, DRAPER, UT 84020-7163
(801) 965-3600
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
(801) 965-3455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
259925
NC
363L00000X
Nurse Practitioner
Primary
14204321-4405
UT
363LF0000X
Family Nurse Practitioner
14204321-4405
UT
Other
Enumeration date
02/07/2025
Last updated
01/08/2026
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