Individual
MRS. MARILYN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
384 WRIGHT BROTHERS DR., MARILYN ROSS BLD #2, SALT LAKE CITY, UT 84116
(801) 536-4910
(801) 517-6453
Mailing address
384 WRIGHT BROTHERS DR., ATTN: MARILYN ROSS BLD 2 MEDICAL CLINIC, SALT LAKE CITY, UT 84116
(801) 536-4910
(801) 517-6453
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
203654-4405
UT
363LF0000X
Family Nurse Practitioner
203654-8900
UT
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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