Individual
LAYCIE ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2332 W ADELAIDE DR, RIVERTON, UT 84065-1900
(801) 808-5383
Mailing address
2332 W ADELAIDE DR, RIVERTON, UT 84065-1900
(801) 808-5383
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9029128-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
9029128-4405
UT
363LF0000X
Family Nurse Practitioner
9029128-8900
UT
Other
Enumeration date
03/10/2025
Last updated
05/08/2025
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