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Individual

A. SUE MONTIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM-NP

Contact information

Practice address
24 S 1100 E, STE 209, SALT LAKE CITY, UT 84102-1580
(801) 908-0930
(801) 531-0930
Mailing address
24 S 1100 E, STE 209, SALT LAKE CITY, UT 84102-1580
(801) 908-0920
(801) 531-0930

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
213560-4401
UT

Other

Enumeration date
02/13/2007
Last updated
03/06/2017
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