Individual
MALINE JOHANNA CROPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1068 HARROP ST, OGDEN, UT 84404-4555
(435) 760-5797
Mailing address
1068 HARROP ST, OGDEN, UT 84404-4555
(435) 760-5797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
287143-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
287143-3102
DEPARTMENT OF OCCUPATIONAL LICENSING NUMBER
UT
01
—
F06231577
AANP FNP-C
—
Enumeration date
07/24/2023
Last updated
07/24/2023
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