Individual
STEPHANIE WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
340 E 100 S, SALT LAKE CITY, UT 84111-1836
(801) 428-3500
Mailing address
560 N 220 E, CENTERVILLE, UT 84014-1836
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
196405-4405
UT
Other
Enumeration date
10/09/2018
Last updated
11/27/2018
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