Individual
MICHELLE LYN SCHLENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2200 E 4500 S STE 130, HOLLADAY, UT 84117-4034
(801) 792-0424
Mailing address
2200 E 4500 S STE 130, HOLLADAY, UT 84117-4034
(801) 792-0424
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
6812043-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6812043-4405
APRN
UT
Enumeration date
03/04/2021
Last updated
03/04/2021
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