Individual
MICQUELLE CURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 S 440 E, SALEM, UT 84653-5644
(801) 376-7629
Mailing address
1031 S 440 E, SALEM, UT 84653-5644
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8482172-4405
UT
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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