Individual
DIXYANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4100
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6835051-4405
UT
Other
Enumeration date
02/04/2020
Last updated
08/29/2022
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