Individual
MICHELLE LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2332 W 12600 S, SUITE 2C, RIVERTON, UT 84065-7161
(801) 446-2760
(801) 446-2762
Mailing address
2332 W 12600 S, SUITE 2C, RIVERTON, UT 84065-7161
(801) 446-2760
(801) 446-2762
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
375231-4405
UT
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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