Individual
MRS. DEBRA MEI LAM MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
750 W 800 N, OREM, UT 84057-3660
(801) 714-6495
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604-3333
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9268307-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
9268307-4405
UT
Other
Enumeration date
06/29/2022
Last updated
09/19/2022
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