Individual
MARANDA ANN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
652 S MEDICAL CENTER DR STE 420, SAINT GEORGE, UT 84790-7049
(435) 251-6800
Mailing address
199 E HOLLY WAY, WASHINGTON, UT 84780-2924
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10645588-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
UT
Other
Enumeration date
10/16/2020
Last updated
10/01/2021
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