Individual
MONIQUE ROSE POISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3665 S 8400 W, MAGNA, UT 84044-4907
(801) 250-9638
Mailing address
933 S LINCOLN ST, SALT LAKE CITY, UT 84105-1412
(603) 769-9549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12134797-4405
UT
Other
Enumeration date
04/08/2022
Last updated
04/26/2023
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