Individual
MS. JANINE MARIE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3534 S 6000 W, WEST VALLEY, UT 84128-2610
(801) 969-6264
(801) 969-6333
Mailing address
3534 S 6000 W, WEST VALLEY, UT 84128-2610
(801) 969-6264
(801) 969-6333
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
206559-4405
UT
363L00000X
Nurse Practitioner
AP30007530
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437357241
—
UT
05
—
7148406
—
WA
05
—
7922404
—
WA
Enumeration date
07/03/2007
Last updated
09/13/2012
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