Individual
ASHLEY RADMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
1055 N 500 W # 222, PROVO, UT 84604-3305
(801) 377-4623
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
5285006-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
5285006-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2021
Last updated
12/29/2025
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