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Individual

MICHELLE D SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1790 N STATE ST, OREM, UT 84057-2025
(801) 224-8255
(801) 224-8301
Mailing address
1790 N STATE ST, OREM, UT 84057-2025
(801) 224-8255
(801) 224-8301

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
355669-4405
UT
363LP0200X
Pediatric Nurse Practitioner
Primary
355669-4405
UT

Other

Enumeration date
11/21/2006
Last updated
07/21/2022
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