Individual
MICHELLA BYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1055 N 500 W, STE 207, BLDG C, PROVO, UT 84604-3305
(801) 375-4263
(801) 429-8085
Mailing address
1055 N 500 W, ATT CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9641695-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
9641695-4405
UT
Other
Enumeration date
07/13/2023
Last updated
05/20/2024
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