Individual
MARY E DING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
154 MYRTLE AVE STE 204, MURRAY, UT 84107-4833
(801) 266-9300
(801) 266-9305
Mailing address
154 MYRTLE AVE STE 204, MURRAY, UT 84107-4833
(801) 266-9300
(801) 266-9305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
196180-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07159
—
UT
Enumeration date
06/29/2006
Last updated
10/20/2021
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