Individual
REBECCA MACKINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4624 S HOLLADAY BLVD., SUITE 201, SALT LAKE CITY, UT 84117-7168
(801) 266-3113
(801) 266-5633
Mailing address
4624 S HOLLADAY BLVD., SUITE 201, SALT LAKE CITY, UT 84117-7168
(801) 266-3113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5487521-4405
UT
Other
Enumeration date
02/16/2013
Last updated
04/21/2023
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