Individual
MELANIE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
425 MEDICAL DR, SUITE 118, BOUNTIFUL, UT 84010-4945
(801) 292-1422
(801) 296-0436
Mailing address
425 MEDICAL DR, SUITE 118, BOUNTIFUL, UT 84010-4945
(801) 292-1422
(801) 296-0436
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
3584844405
UT
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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