Individual
TRACY MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP STUDENT
Contact information
Practice address
3838 W 2200 S, OGDEN, UT 84401-8511
(801) 726-2047
Mailing address
3838 W 2200 S, OGDEN, UT 84401-8511
(801) 726-2047
(801) 387-2400
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
190300-3102
UT
Other
Enumeration date
03/23/2019
Last updated
03/23/2019
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