Individual
ASHLEY MANTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
UNIVERSITY OF UTAH HOSPITAL 50 N MEDICAL DRIVE, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
9246 S WASATCH MEADOWS DR, WEST JORDAN, UT 84088-2620
(801) 432-7643
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
6753909-3102
UT
363L00000X
Nurse Practitioner
Primary
6753909-4405
UT
363LN0000X
Neonatal Nurse Practitioner
6753909-4405
UT
Other
Enumeration date
04/29/2020
Last updated
12/26/2025
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