Individual
AMY LYNN DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 N 500 W BLDG A, PROVO, UT 84604-3305
(801) 812-5033
(801) 418-0941
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10105657-4405
UT
Other
Enumeration date
09/28/2020
Last updated
02/05/2021
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