Individual
MARLEE K DALTON
Active
Individual
MARLEE K DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, ARPN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2642414405
UT
363LW0102X
Women's Health Nurse Practitioner
264241-4405
UT
367A00000X
Advanced Practice Midwife
264241-4402
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730175761
—
UT
01
—
264241411002001
REGENCE BCBS
UT
Enumeration date
09/26/2005
Last updated
09/24/2019
Update your record
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