Individual
MADISON ROSE DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7850
Mailing address
985 S 2720 E, SPANISH FORK, UT 84660-6227
(435) 592-5990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
12292254-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12292254-4405
UT
Other
Enumeration date
11/13/2025
Last updated
01/09/2026
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