Individual
MELISSA POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 586-1565
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 586-1565
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9101934-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
9101934-8900
UT
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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