Individual
MARY ADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
70 W WESTVIEW DR, RICHFIELD, UT 84701-1868
(435) 577-2521
(435) 577-2521
Mailing address
PO BOX 40, 555 NORTH MAIN, JUNCTION, UT 84740-0040
(435) 577-2521
(435) 577-2521
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
220974-3102
UT
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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