Individual
LAURA E. SPALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
905 N 1000 W, TREMONTON, UT 84337-9356
(435) 207-4720
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9455534-4405
UT
Other
Enumeration date
10/16/2020
Last updated
07/06/2023
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