Individual
MAREN TOPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
395 W BULLDOG BLVD STE 702, PROVO, UT 84604-3333
(801) 357-1700
(801) 357-1699
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
360317-4405
UT
Other
Enumeration date
10/01/2018
Last updated
08/23/2019
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