Individual
GERALDINE JODY STUBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1345 E 3900 S, SUITE 204, SALT LAKE CITY, UT 84124-1474
(385) 275-4673
(801) 999-4166
Mailing address
1345 E 3900 S, SUITE 204, SALT LAKE CITY, UT 84124-1474
(385) 275-4673
(801) 999-4166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
223189-4405
UT
Other
Enumeration date
08/27/2014
Last updated
12/17/2015
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