Individual
MELISSA N SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, C-EFM
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-2000
Mailing address
8625 S GREEN WAY, SANDY, UT 84094-1844
(801) 674-7164
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
7873819-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854057
—
UT
Enumeration date
06/07/2017
Last updated
06/07/2017
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