Individual
TRISSA MICHELLE LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1636 WOODLAND DR, PROVO, UT 84604-1301
(903) 630-0290
Mailing address
1636 WOODLAND DR, PROVO, UT 84604-1301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10619955-4405
UT
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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