Individual
AMANDA JO RESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4100
Mailing address
1852 W DRIFTWOOD VW, LEHI, UT 84043-6680
(801) 360-8021
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
5429968-4405
UT
363LN0005X
Critical Care Neonatal Nurse Practitioner
5429968-4405
UT
Other
Enumeration date
11/15/2010
Last updated
03/07/2023
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