Individual
STEPHANIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
13957 S BANGERTER PKWY STE 102, DRAPER, UT 84020-5429
(801) 866-8619
Mailing address
13614 S VESTRY RD, DRAPER, UT 84020-7521
(801) 580-1717
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
359858-4405
UT
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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