Individual
MRS. MILADA TICHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5848 S 300 E, MURRAY, UT 84107-6157
(801) 314-4100
Mailing address
7777 S REDWOOD RD, WEST JORDAN, UT 84084-5518
(801) 255-9077
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5232493-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
52324934405
UT
Other
Enumeration date
12/28/2007
Last updated
04/20/2021
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