Individual
MRS. MICHELLE LEANN LITCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1160 E 3900 S, #1000, SALT LAKE CITY, UT 84124-1202
(801) 262-1771
Mailing address
1160 E 3900 S, #1000, SALT LAKE CITY, UT 84124-1202
(801) 262-1771
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
49318064405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518045806
—
UT
Enumeration date
11/02/2006
Last updated
11/18/2021
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