Individual
SARA J. STAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, C-FNP
Contact information
Practice address
245 W 100 N # 42, MT PLEASANT, UT 84647-1343
(435) 462-3652
Mailing address
245 W 100 N # 42, MT PLEASANT, UT 84647-1343
(435) 462-3652
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2046634405
UT
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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