Individual
MICHELLE MARIE CARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
100 MARIO CAPECCHI DR, SUITE 1500, SALT LAKE CITY, UT 84112-8924
(801) 662-5515
(801) 662-5404
Mailing address
100 MARIO CAPECCHI DR, SUITE 1500, SALT LAKE CITY, UT 84112-8924
(801) 662-5515
(801) 662-5404
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
49261714405
UT
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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