Individual
MICHELLE MATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4403 HARRISON BLVD STE 3430, OGDEN, UT 84403-3343
(801) 387-3866
(801) 387-3885
Mailing address
4403 HARRISON BLVD STE 3430, OGDEN, UT 84403-3343
(801) 387-3866
(801) 387-3885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5636825-4405
UT
Other
Enumeration date
03/09/2015
Last updated
10/01/2021
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