Individual
COREEN LYN MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2337 FAIRWAY DR, SPANISH FORK, UT 84660-9008
(970) 701-9217
Mailing address
2337 FAIRWAY DR, SPANISH FORK, UT 84660-9008
(970) 701-9217
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13528242-4405
UT
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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