Individual
MEAGEN LEANNE LIEBHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
10433 S REDWOOD RD, SOUTH JORDAN, UT 84095-8502
(801) 501-0500
(801) 253-0696
Mailing address
10433 S REDWOOD RD STE 2, SOUTH JORDAN, UT 84095-8502
(801) 260-1919
(801) 260-1441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11443777-4405
UT
363L00000X
Nurse Practitioner
114437774405
UT
Other
Enumeration date
01/28/2025
Last updated
03/19/2025
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