Individual
MEGAN MARIE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
557 W 2600 S, BOUNTIFUL, UT 84010-7717
(801) 298-9155
(801) 298-9156
Mailing address
557 W 2600 S, BOUNTIFUL, UT 84010-7717
(801) 299-8260
(801) 298-9156
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9818046-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
9818046-4405
UT
Other
Enumeration date
04/19/2021
Last updated
09/15/2021
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