Individual
MARINN ELISHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 E 700 N, SPANISH FORK, UT 84660-1699
(801) 794-7947
Mailing address
305 W FOOTHILL VILLAGE BLVD, SANTAQUIN, UT 84655-4635
(385) 251-2865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
11774036-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
11774036-4405
UT
363LF0000X
Family Nurse Practitioner
11774036-8900
UT
Other
Enumeration date
07/31/2023
Last updated
08/22/2023
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