Individual
MARIANNE MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1355 N UNIVERSITY AVE STE 210, PROVO, UT 84604-2721
(801) 373-8930
Mailing address
1355 N UNIVERSITY AVE STE 210, PROVO, UT 84604-2721
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
380578-4405
UT
Other
Enumeration date
05/10/2021
Last updated
04/04/2022
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