Individual
MINDY ANNE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
1301 E 600 S, SPANISH FORK, UT 84660-2619
(801) 882-5606
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
311936-3102
UT
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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