Individual
STACY CAZEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1920 W 250 N STE 1, MARRIOTT SLATERVILLE, UT 84404-9234
(801) 689-2647
Mailing address
1920 W 250 N STE 1, MARRIOTT SLATERVILLE, UT 84404-9234
(801) 689-2647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8672604-4405
UT
Other
Enumeration date
11/10/2021
Last updated
12/20/2023
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