Individual
LISA A BARKDULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
450 S 900 E STE 175, SALT LAKE CITY, UT 84102-2981
(801) 456-2333
(801) 456-2330
Mailing address
275W 200 N 7, KAYSVILLE, UT 84037-1873
(801) 546-1300
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0389765-22
WV
363LF0000X
Family Nurse Practitioner
0024166259
VA
363LF0000X
Family Nurse Practitioner
Primary
8721544-4405
UT
Other
Enumeration date
05/31/2005
Last updated
06/01/2021
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