Individual
MRS. STEPHANIE ANN BODILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-2445
(801) 662-2469
Mailing address
4786 VIEWMONT ST, SALT LAKE CITY, UT 84117-5333
(801) 662-2445
(801) 662-2469
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
222883-4405
UT
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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