Individual
MICHELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
1083 W PHEASANT TAIL DR, BLUFFDALE, UT 84065-5616
(801) 755-8195
Mailing address
1083 W PHEASANT TAIL DR, BLUFFDALE, UT 84065-5616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7962059-3102
UT
363L00000X
Nurse Practitioner
Primary
4962059-4405
UT
Other
Enumeration date
09/25/2019
Last updated
07/17/2020
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