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Individual

MICHELLE WILKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3451 S 5600 W, #F, SALT LAKE CITY, UT 84120-1301
(801) 957-0900
Mailing address
PO BOX 1000, DRAPER, UT 84020-1000
(801) 352-9500
(801) 352-9502

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
367136-4405
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
870639098001
UT
Enumeration date
04/27/2006
Last updated
10/19/2007
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