Individual
MADELEINE ELISE RUPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2295 S FOOTHILL DR, SALT LAKE CITY, UT 84109-4000
(801) 486-3021
Mailing address
2295 S FOOTHILL DR, SALT LAKE CITY, UT 84109-4000
(801) 486-3021
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11124957-4405
UT
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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