Individual
KELSIE MARIETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
867 N 575 W, BRIGHAM CITY, UT 84302-4455
(801) 564-9678
Mailing address
867 N 575 W, BRIGHAM CITY, UT 84302-4455
(801) 564-9678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9901000-4405
UT
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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