Individual
MICAH TANIEL DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10684 S RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-3525
(801) 816-0332
(801) 816-0331
Mailing address
3152N UNIVERSITY AVE 220, PROVO, UT 84604-4746
(801) 229-1014
(801) 229-1067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
361370-4405
UT
Other
Enumeration date
11/02/2011
Last updated
07/07/2023
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