Individual
MELISSA LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
286 N GATEWAY DR STE 201, PROVIDENCE, UT 84332-5603
(435) 932-6125
Mailing address
PO BOX 628, MILLVILLE, UT 84326-0628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
11006400-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
11006400-4405
UT
Other
Enumeration date
02/25/2020
Last updated
03/14/2024
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