Individual
MALLORY RUTH ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGACNP-BC
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
1104 W 250 N, CLEARFIELD, UT 84015-8790
(801) 645-2788
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
7162850-4405
UT
Other
Enumeration date
08/28/2019
Last updated
10/16/2021
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