Individual
MELODY FORSYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9289 S REDWOOD RD STE C, WEST JORDAN, UT 84088-6731
(801) 568-2898
Mailing address
9289 S REDWOOD RD STE C, WEST JORDAN, UT 84088-6731
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4934951-4405
UT
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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