Individual
LEISHA NOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
288 N 1460 W, SALT LAKE CITY, UT 84116-3231
(801) 707-5492
Mailing address
PO BOX 142102, SALT LAKE CITY, UT 84114-2102
(801) 707-5492
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12377184-1205
UT
208000000X
Pediatrics Physician
12377184-8905
UT
Other
Enumeration date
05/14/2008
Last updated
07/22/2024
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