Individual
LESLIE C NAKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5979 S FASHION BLVD, MURRAY, UT 84107-7364
(801) 263-2370
Mailing address
2160 CLAREMONT DR, BOUNTIFUL, UT 84010-2321
(801) 809-1051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
348267-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366849127
—
UT
Enumeration date
11/21/2014
Last updated
07/17/2015
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