Individual
DR. LAURA CLYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9071 S 1300 W, WEST JORDAN, UT 84088-6672
(801) 565-1162
Mailing address
9071 S 1300 W, WEST JORDAN, UT 84088-6672
(801) 565-1162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7282627-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
7282627-3102
UT
Other
Enumeration date
05/04/2009
Last updated
04/22/2022
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