Individual
STACIE R PEARCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
602 E 7200 S, MIDVALE, UT 84047-2216
(801) 313-1010
Mailing address
602 E 7200 S, MIDVALE, UT 84047-2216
(801) 313-1010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
59197854405
UT
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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