Individual
MARIA ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-BC, NNP
Contact information
Practice address
50 N MEDICAL DR, RM 2521, SALT LAKE CITY, UT 84132-8100
(801) 830-4630
Mailing address
50 N MEDICAL DR, RM 2521, SALT LAKE CITY, UT 84132-8100
(801) 830-4630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
197998-4405
UT
363LN0000X
Neonatal Nurse Practitioner
197998-4405
UT
Other
Enumeration date
09/01/2011
Last updated
12/26/2025
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