Individual
OLIVIA MARIE CASSITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10577 S REDWOOD RD STE 109, SOUTH JORDAN, UT 84095-8504
(801) 559-7455
Mailing address
10577 S REDWOOD RD STE 109, SOUTH JORDAN, UT 84095-8504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9799959-4405
UT
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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