Individual
NATALIE MAE STAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 E 1700 S BLDG 3, PROVO, UT 84606-5644
(801) 472-3902
Mailing address
122 E 1700 S BLDG 3, PROVO, UT 84606-5644
(801) 375-5125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
116272121206
UT
Other
Enumeration date
05/18/2022
Last updated
05/14/2024
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