Individual
MRS. MICHELLE LOFTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-3599
Mailing address
1208 W KIMMAN LN, TAYLORSVILLE, UT 84123-4872
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10637956-4405
UT
363LP0200X
Pediatric Nurse Practitioner
10637956-4405
UT
Other
Enumeration date
06/09/2022
Last updated
10/20/2022
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