Individual
MAH MEKOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 N TRIUMPH BLVD STE 500, LEHI, UT 84043-6475
(801) 821-2781
Mailing address
3300 N TRIUMPH BLVD STE 500, LEHI, UT 84043-6475
(801) 821-2781
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12569009-4405
UT
Other
Enumeration date
12/02/2021
Last updated
03/31/2026
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