Individual
MICHAELA FOSSAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
77 S 600 E, PRICE, UT 84501-3174
(435) 637-7200
Mailing address
PO BOX 867, PRICE, UT 84501-0867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10413141-3102
UT
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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