Individual
MANDY PATTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
181 E MEDICAL TOWER DR, MURRAY, UT 84107
(801) 314-7700
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5927704-4405
UT
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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