Individual
KATELYN SIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 N 500 W, STE 205 BUILDING C, PROVO, UT 84604
(801) 429-8095
(801) 354-8265
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(018) 354-8225
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6159237-4405
UT
Other
Enumeration date
06/16/2020
Last updated
03/11/2024
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