Individual
MARCI T HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 W HOSPITAL RD, BRIGHAM CITY, UT 84302-3006
(435) 734-2041
(435) 723-8028
Mailing address
888 W 460 S, TREMONTON, UT 84337-6745
(435) 452-2034
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6665154-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
6665154-4405
UT
Other
Enumeration date
10/11/2019
Last updated
11/12/2020
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