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Individual

STACY HIGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
6147 S 1375 E, SOUTH OGDEN, UT 84405-6752
(801) 682-9859

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8396259-4405
UT

Other

Enumeration date
08/17/2018
Last updated
08/17/2018
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