Individual
ALISON SPACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10591453-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10591453-8900
UT
Other
Enumeration date
06/19/2025
Last updated
06/06/2026
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