Individual
KACIE DOYLE-DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9500 S 1300 E, SANDY, UT 84094-3763
(801) 501-2100
Mailing address
2262 E 4160 S, HOLLADAY, UT 84124-3400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8644351-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
8644351-4405
UT
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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