Individual
MS. STEPHANIE YURI NAGATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
654 S 900 E, SALT LAKE CITY, UT 84102-3478
(801) 532-1586
Mailing address
2176 S 2300 E, SALT LAKE CITY, UT 84109-1202
(801) 486-9362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216823-4405
UT
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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