Individual
ALEXIS SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
24 S 1100 E STE 102, SALT LAKE CITY, UT 84102-1565
(801) 532-0204
Mailing address
3363 BOUNTIFUL BLVD, BOUNTIFUL, UT 84010-4465
(801) 318-0952
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11195391-4405
UT
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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