Individual
MARISA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10808 S RIVER FRONT PKWY STE 3133, SOUTH JORDAN, UT 84095-5759
(325) 939-3835
Mailing address
10808 S RIVER FRONT PKWY STE 3133, SOUTH JORDAN, UT 84095-5759
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12578284-4405
UT
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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