Individual
MELISSA BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
288 N 1460 W, SALT LAKE CITY, UT 84116-3231
(801) 538-6955
Mailing address
288 N 1460 W, SALT LAKE CITY, UT 84116-3231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9373013-3102
UT
Other
Enumeration date
07/12/2016
Last updated
09/05/2019
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