Individual
MISS VANESSA ELIZABETH HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1600 SNOW CREEK DR, PARK CITY, UT 84060-7372
(435) 655-0055
(435) 655-8979
Mailing address
PO BOX 198560, ATLANTA, GA 30384-8560
(801) 771-7717
(866) 506-1474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7544993-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578859831
—
UT
Enumeration date
02/28/2019
Last updated
10/04/2023
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