Individual
MELONIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E 300 S, SUITE 380, SALT LAKE CITY, UT 84111-2418
(801) 994-1466
(801) 994-1467
Mailing address
250 E 300 S, SUITE 380, SALT LAKE CITY, UT 84111-2418
(801) 994-1466
(801) 994-1467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7265337-4405
UT
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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