Individual
AMANDA MICHELLE LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 E MEDICAL CENTER DRIVE, SUITE 4100, SAINT GEORGE, UT 84790
(435) 251-2900
(435) 251-2901
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8680360-4405
UT
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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