Individual
CORRIE LAMOREAUX STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1112 E 300 N STE 202, AMERICAN FORK, UT 84003-2484
(801) 577-7055
Mailing address
1112 E 300 N STE 202, AMERICAN FORK, UT 84003-2484
(801) 577-7055
(888) 717-7578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10832313-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10832313-4405
STATE APRN LICENSE
UT
01
—
10832313-8900
APRN CONTROLLED SUBSTANCE SCHEDULE 2-5 LICENSE
UT
Enumeration date
12/05/2021
Last updated
12/28/2023
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