Individual
MICHELLE MARIE MCNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 N 200 W STE 300, PROVO, UT 84601-1690
(801) 373-4760
Mailing address
PO BOX 4341, 633 SUNNYSIDE DR., PARK CITY, UT 84060-4341
(435) 640-8655
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8122559-8900
UT
Other
Enumeration date
11/01/2006
Last updated
01/09/2012
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