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Individual

DR. JODY LEIGH OSTEYEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CPNP

Contact information

Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-2253
Mailing address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-2253

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
206410-4405
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
363LOOOOOX
UT
Enumeration date
10/05/2017
Last updated
10/05/2017
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