Individual
MARIAN GIAUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1159 E 200 N STE 200, AMERICAN FORK, UT 84003-2026
(801) 756-5209
Mailing address
428 E 2260 N, PROVO, UT 84604-1729
(801) 830-0953
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5423213-4405
UT
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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