Individual
JOAN M COLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1055 N 500 W STE 202, BLDG C, PROVO, UT 84604-8460
(801) 374-2367
(801) 429-8015
Mailing address
2000 CIRCLE OF HOPE DR, ROOM N1550, SALT LAKE CITY, UT 84112-5550
(801) 213-4270
(801) 585-7902
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
369162-4408
UT
363LA2200X
Adult Health Nurse Practitioner
Primary
369162-4405
UT
Other
Enumeration date
09/01/2011
Last updated
07/21/2022
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