Individual
MICHELLE LYN MEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4200
Mailing address
478 E WINDY GARDEN LN, MILLCREEK, UT 84107-5542
(801) 245-9161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8044239-4405
UT
Other
Enumeration date
09/13/2018
Last updated
12/15/2020
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