Individual
MRS. MARILYN LOUISE LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PP
Contact information
Practice address
198 W 7200 S, MIDVALE, UT 84047-3749
(801) 566-4423
Mailing address
198 W 7200 S, MIDVALE, UT 84047-3749
(801) 566-4423
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
21382844405
UT
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
2138288900
UT
Other
Enumeration date
11/06/2008
Last updated
07/29/2015
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