Individual
GINA MARKOS CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
520 MEDICAL DR, BOUNTIFUL, UT 84010-4968
(801) 292-1464
(801) 292-1465
Mailing address
1199 S BONNEVILLE DR, SALT LAKE CITY, UT 84108-2051
(801) 583-9665
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
97-200043-4405
UT
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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