Individual
MARILEE SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3300 RUNNING CREEK WAY, BUILDING B SUITE, LEHI, UT 84043-5563
(801) 812-4673
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 812-4673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5554724-4405
UT
Other
Enumeration date
09/25/2012
Last updated
03/14/2013
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