Individual
NECIA DALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
12391 S 4000 W, RIVERTON, UT 84096-7012
(801) 302-1750
(801) 302-1715
Mailing address
7181 S CAMPUS VIEW DR STE 200, WEST JORDAN, UT 84084-4312
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
8010164-3102
UT
363L00000X
Nurse Practitioner
Primary
8010164-4405
UT
Other
Enumeration date
07/12/2019
Last updated
02/10/2021
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