Individual
MARLEE K DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, ARPN
Contact information
Practice address
2376 N 400 E STE 203, TOOELE, UT 84074-3413
(435) 882-0599
(435) 880-2039
Mailing address
2376 N 400 E STE 203, TOOELE, UT 84074-3413
(435) 882-0599
(435) 882-2111
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
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