Individual
MARY E BENALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2825 E MALL DR, SAINT GEORGE, UT 84790-1954
(435) 673-6131
(435) 673-8557
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12063601-4405
UT
Other
Enumeration date
03/06/2025
Last updated
04/30/2025
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