Individual
MICKIE FRANCINE WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
386 E 720 S, OREM, UT 84058-6342
(801) 225-2623
(801) 765-4386
Mailing address
13014 BENCHVIEW CV, DRAPER, UT 84020-8966
(801) 707-5248
(801) 765-4386
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
261008-4405
UT
Other
Enumeration date
03/02/2007
Last updated
09/19/2008
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