Individual
KATIE CAMILLE TAYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 MILLPOND STE 100, STANSBURY PARK, UT 84074-9760
(435) 843-3072
(435) 843-3050
Mailing address
220 MILLPOND STE 100, STANSBURY PARK, UT 84074-9760
(435) 843-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9902215-4405
UT
363LP2300X
Primary Care Nurse Practitioner
Primary
9902215-4405
UT
Other
Enumeration date
01/19/2023
Last updated
11/20/2024
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