Individual
MRS. TAIJA MARIE LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
830 N 2000 W, PLEASANT GROVE, UT 84062-4047
(801) 756-3511
(801) 756-1705
Mailing address
275 W 200 N, LINDON, UT 84042-5009
(801) 796-1333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9683749-4405
UT
363LF0000X
Family Nurse Practitioner
AP61084061
WA
Other
Enumeration date
07/20/2020
Last updated
07/11/2023
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