Individual
MS. STACEY A FLINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP AGACNP-BC
Contact information
Practice address
425 E 5350 S STE 400, OGDEN, UT 84405-6932
(801) 479-0184
(801) 479-5642
Mailing address
PO BOX 741729, ATLANTA, GA 30374-1729
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
191314-4405
UT
Other
Enumeration date
12/23/2016
Last updated
09/27/2023
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